Provider Demographics
NPI:1508472564
Name:ALBRITTON, ELLEN ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:ANN
Last Name:ALBRITTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3592 HIGHWAY 28 E
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-5816
Mailing Address - Country:US
Mailing Address - Phone:318-443-3100
Mailing Address - Fax:318-443-3635
Practice Address - Street 1:3592 HIGHWAY 28 E
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-5816
Practice Address - Country:US
Practice Address - Phone:318-443-3100
Practice Address - Fax:318-443-3635
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.023573183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist