Organization
STRATA THERAPIES ELCOTT AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL P ELCOTT RFO ABC CERTIFIED O (PRESIDENT)
(205) 824-2085
Entity
Organization
Contact information
Practice address
609 LORNA SQUARE, BIRMINGHAM, AL 35216
(205) 824-2085
(205) 824-2086
Mailing address
609 LORNA SQUARE, BIRMINGHAM, AL 35216
(205) 824-2085
(205) 824-2086
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
06010518
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51048943
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/21/2006
Last updated
08/22/2020
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