Individual
MR. LARRY CHARLES ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-2107
(907) 729-2119
Mailing address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-2107
(907) 729-2119
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
188
AK
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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