Individual
DR. SHAWNA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11203 MAIN STREET, MARTIN, KY 41649
(606) 285-6441
Mailing address
PO BOX 910, MARTIN, KY 41649-0910
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015555
KY
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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