Organization
MAHANT ELKTON LLC
Active
Organization
MAHANT ELKTON LLC
Active
Other names
Elkton Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITUL PATEL PHARMD (PHARMACIST - MANAGER PARTNER)
(804) 591-5671
Entity
Organization
Contact information
Practice address
111 S STUART AVE, ELKTON, VA 22827-1525
(540) 298-9090
(540) 713-6399
Mailing address
111 S STUART AVE, ELKTON, VA 22827-1525
(540) 298-9090
(540) 713-6399
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004445
VA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700159696
—
VA
01
—
2133934
PK
—
Enumeration date
02/22/2012
Last updated
09/02/2025
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