Organization
ELLIOTTS PHARMACY INC.
Active
Other names
Maxcare/Maxcare RX
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHE WAHBA (OWNER/PHARMACIST)
(888) 900-7878
Entity
Organization
Contact information
Practice address
4825 EL CAMINO REAL, ATASCADERO, CA 93422-2759
(888) 900-7878
(877) 430-7695
Mailing address
4825 EL CAMINO REAL, ATASCADERO, CA 93422-2759
(888) 900-7878
(877) 430-7695
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
102015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA462370
—
CA
Enumeration date
06/20/2006
Last updated
08/22/2020
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