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Contact Information

ELLISON BROWN JR
7363 GOODMAN RD
OLIVE BRANCH, MS38654-1906
 Phone: 662-890-7555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for ELLISON BROWN JR · (Male)

NPI Number 1689279697
Status Active
Credentials
Entity Individual
Enumeration date 11/30/2020
Last updated 12/07/2020 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # E-15036
  • TN License # 41588
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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