Organization
ALAN R MCELVEEEN
Active
Other names
MCELVEENS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN MCELVEEN (OWNER)
(770) 534-7675
Entity
Organization
Contact information
Practice address
1210 THOMPSON BRIDGE RD, GAINESVILLE, GA 30501-1779
(770) 534-7675
(770) 718-9451
Mailing address
PO BOX 391, GAINESVILLE, GA 30503-0391
(770) 534-7675
(770) 718-9451
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006668
GA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00031468A
—
GA
01
—
1110244
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/28/2006
Last updated
10/28/2009
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