Individual
DR. ELLIOT RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
768 S JEFFERSON AVE, COOKEVILLE, TN 38501-4070
(931) 526-7143
Mailing address
1135 BRENTWOOD PT, KINGSTON, TN 37763-3143
(931) 349-1566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33425
TN
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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