Elliott Pharmacy, Inc.

NPI 1053458075 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1053458075
Enumeration Date 01/31/2007
Last Updated 09/18/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JEFFREY P. JEFFREY
Position OWNER
Phone (660) 665-9871
Fax (660) 665-4332
Practice Location
2120 N BALTIMORE ST
KIRKSVILLE MO, 63501-5109, US
Phone (660) 665-9871
Fax (660) 665-4332
Business Location
PO BOX 72
KIRKSVILLE MO, 63501-0072, US
Phone (660) 665-9871
Fax (660) 665-4332
Toxanomy
Taxonomy Code 332B00000X
License State Missouri
License Number 620398800
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According to our database, Elliott Pharmacy, Inc. NPI is 1053458075, taxonomy code is 332B00000X and license number is 620398800, license state is located at Missouri. Elliott Pharmacy, Inc. physically located at 2120 N Baltimore St, Kirksville MO, 63501-5109. NPI Number 1033115704 has the healthcare provider type.

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1053458075 NPI number is provided on an as is basis without warranty of any kind. 1053458075 is maintained by the National Plan & Provider Enumeration System. The contents of Elliott Pharmacy, Inc. are for informational purposes only.