Individual
MR. CYRUS BROOKS ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
2300 W HIGHWAY 89A, SEDONA, AZ 86336-5344
(928) 282-1712
Mailing address
60 BELL CREEK WAY, SEDONA, AZ 86351-6965
(928) 284-1007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017508
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S017508
PHARMACIST LIC. #
AZ
Enumeration date
11/19/2010
Last updated
11/19/2010
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