Organization
CLIFTON G. ELLIOTT, LLC
Active
Other names
Elliott Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON ELLIOTT PHARMD (OWNER)
(225) 635-3878
Entity
Organization
Contact information
Practice address
7189 US HIGHWAY 61, SAINT FRANCISVILLE, LA 70775-4541
(225) 635-3878
Mailing address
PO BOX 515, SAINT FRANCISVILLE, LA 70775-0515
(225) 635-3878
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
007122-IR
LA
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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