Individual
MICHAEL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
520 W BROAD ST, RICHMOND, VA 23220-4223
(804) 225-1340
(804) 225-8072
Mailing address
520 W. BROAD STREET, RICHMOND, VA 23220
(804) 225-1340
(804) 225-8072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007170
VA
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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