Individual
AUSTIN JAMES ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
661 SWEETWATER RD, SPRING VALLEY, CA 91977-5628
(619) 463-9848
Mailing address
2517 UNION ST APT 19, SAN DIEGO, CA 92101-1386
(831) 419-3276
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
83414
CA
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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