Individual
JAMES CLYDE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3900 FORT HENRY DR, COLONIAL HEIGHTS, TN 37663-2026
(423) 239-6845
Mailing address
3900 FORT HENRY DR, COLONIAL HEIGHTS, TN 37663-2026
(423) 239-6845
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44271
TN
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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