Individual
EDWIN PAUL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
22521 MICHIGAN AVE, DEARBORN, MI 48124-2122
(313) 278-1515
Mailing address
22521 MICHIGAN AVE, DEARBORN, MI 48124-2122
(313) 278-1515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038311
MI
Other
Enumeration date
11/25/2011
Last updated
11/25/2011
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