| NPI | 1891700423 |
|---|---|
| Doing Business As | ELLIOTT HEALTHMART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY NELSON Owner Pharmacist 660-665-9871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 005972) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2012-04-30 |