Individual
ELLIOTT M. GIFFEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2334 SOUTH BLVD, CHARLOTTE, NC 28203-5008
(704) 523-8608
(704) 523-8619
Mailing address
2334 SOUTH BLVD, CHARLOTTE, NC 28203-5008
(704) 523-8608
(704) 523-8619
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4615
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4615
N.C. BOARD OF PHARMACY
NC
Enumeration date
12/03/2012
Last updated
12/03/2012
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