Organization
SHERIDAN-ELLIOTT PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L WEISS (PRESIDENT)
(317) 896-9378
Entity
Organization
Contact information
Practice address
508 E 10TH ST, SHERIDAN, IN 46069-9188
(317) 758-4171
(317) 758-9045
Mailing address
508 E 10TH ST, SHERIDAN, IN 46069-9188
(317) 758-4171
(317) 758-9045
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6003776A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100126610A
—
IN
Enumeration date
07/18/2006
Last updated
08/19/2014
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