Individual
CHRISTINA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8403 GRAND ESTUARY TRL, UNIT 302, BRADENTON, FL 34212-4270
(704) 473-6974
Mailing address
8403 GRAND ESTUARY TRL, UNIT 302, BRADENTON, FL 34212-4270
(704) 473-6974
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS54027
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS54027
DEPARTMENT OF HEALTH
FL
Enumeration date
08/28/2015
Last updated
08/28/2015
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