| NPI | 1679676159 |
|---|---|
| Doing Business As | ELTINGVILLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SILVANA MATTIDI Owner 715-356-1789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 016203) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2019-09-03 |