Organization
ELLIOTTS PHARMACY INC.
Active
Organization
ELLIOTTS PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHE WAHBA (OWNER)
(805) 460-2614
Entity
Organization
Contact information
Practice address
4835 EL CAMINO REAL, ATASCADERO, CA 93422-2759
(805) 460-2609
(805) 460-2611
Mailing address
4835 EL CAMINO REAL, ATASCADERO, CA 93422-2759
(805) 460-2609
(805) 460-2611
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY46239
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA462390
—
CA
Enumeration date
07/12/2006
Last updated
08/22/2020
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