| NPI | 1467609636 |
|---|---|
| Doing Business As | ELLIOTT PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY NELSON Owner 660-665-9871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MO 2008018246) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2011-11-18 |