Individual
KIMBERLY ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 PRESTON AVE, CHARLOTTESVILLE, VA 22903-4491
(434) 295-8957
Mailing address
901 PRESTON AVE, CHARLOTTESVILLE, VA 22903-4491
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202214224
VA
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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