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Organization

ELLIOTT PHARMACY INC

Active
Other names
Elliott Pharmacy LTC
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY NELSON (OWNER)
(660) 665-9871
Entity
Organization

Contact information

Practice address
2120A NORTH BALTIMORE, KIRKSVILLE, MO 63501
(660) 665-9871
(660) 665-4332
Mailing address
PO BOX 729, KIRKSVILLE, MO 63501-0729
(660) 665-9871
(660) 665-9871

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
2008018246
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1467609636
MO
01
2638166
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
08/19/2008
Last updated
11/18/2011
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