Individual
ELIJAH ROYAL ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30485 COUNTY ROAD 16, ELKHART, IN 46516-1006
(574) 326-4622
Mailing address
30485 COUNTY ROAD 16, ELKHART, IN 46516-1006
(574) 326-4622
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30259949
—
183700000X
Pharmacy Technician
67043053A
IN
183700000X
Pharmacy Technician
TCH198036
CA
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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