Individual
DR. ALICIA BEATRIX ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3650 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 210-7991
Mailing address
2930 MAYFAIR RD, AUGUSTA, GA 30909-3569
(706) 394-2187
(706) 955-9773
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12058
SC
183500000X
Pharmacist
Primary
RPH018336
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12058
SC PHARMACY LICENSE
SC
01
—
RPH018336
PHARMACY LICENSE
GA
Enumeration date
03/09/2011
Last updated
03/09/2011
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