Mr. Ellis Rodney Derouen
Pharmacist
1010 W Bluff St, Woodville
Texas, 75979-4736
409-283-3073 409-283-2159
Mr. Ellis Rodney Derouen is a pharmacist in Woodville, Texas. Patients can reach him at 1010 W Bluff St, Woodville or contact him on 409-283-3073. Active license number of Mr. Ellis Rodney Derouen is 15009 for Pharmacist in Texas.
Mr. Ellis Rodney Derouen is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Mr. Ellis Rodney Derouen speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Mr. Ellis Rodney Derouen |
| Specialization: | Pharmacist |
| Credentials: | R.PH |
| Gender: | Male |
| Location: | 1010 W Bluff St, Woodville,
Texas, 75979-4736 |
| Phone: | 409-283-3073 |
| Fax: | 409-283-2159 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Mr. Ellis Rodney Derouen are as mentioned below.
| NPI Number: | 1033269568 |
| NPI Enumeration Date: | 10 Jan, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Ellis Rodney Derouen are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 15009 | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Ellis Rodney Derouen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 143652 | Medicaid | Texas | |
| 4582664 | Other | Texas | Ncpdp |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 204 Kelley Blvd,
Woodville, Texas |
| Zip: | 75979-4714 |
| Phone Number: | 409-283-5487 |
Patients can reach Mr. Ellis Rodney Derouen at
1010 W Bluff St, Woodville, Texas or can
call on phone at 409-283-3073.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.