# ELLIOTTS PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maxcare/Maxcare RX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790721793
- **Authorized official:** MR. ASHE WAHBA (OWNER/PHARMACIST)
- **Authorized official phone:** (888) 900-7878

## Contact information

- **Practice address:** 4825 EL CAMINO REAL, ATASCADERO, CA 93422-2759
- **Practice address phone:** (888) 900-7878
- **Practice address fax:** (877) 430-7695
- **Mailing address:** 4825 EL CAMINO REAL, ATASCADERO, CA 93422-2759
- **Mailing address phone:** (888) 900-7878
- **Mailing address fax:** (877) 430-7695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 102015 | CA | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 08/22/2020