Organization
GEORGE ELLIOTT INC
Active
Other names
Elliott Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON ELLIOTT RPH (PIC)
(225) 635-3878
Entity
Organization
Contact information
Practice address
5455 LIVE OAK CTR, SAINT FRANCISVILLE, LA 70775-4018
(225) 635-3878
(225) 635-3880
Mailing address
PO BOX 515, SAINT FRANCISVILLE, LA 70775-0515
(225) 635-3878
(225) 635-3880
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY007122IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234681
—
LA
01
—
2118064
PK
—
Enumeration date
11/24/2008
Last updated
11/17/2016
Update your record
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