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NPI Code Detail

MEDICARE: DR. GAIL ANN ELLIOTT PHARMD

MEDICARE: DR. GAIL ANN ELLIOTT PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist00051637WA

General Provider Information

NPI Number : 1588965529
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GAIL ANN ELLIOTT PHARMD
Provider Business Mailing Address
First Line : 16423 SE 263RD ST
Second Line :
City : COVINGTON
State : WA
Zip : 98042-5838
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2921 NACHES AVE SW
Second Line :
City : RENTON
State : WA
Zip : 98057-2617
Country : US
Telephone Number : 206-630-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2010
Last Update Date : 01/25/2021

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Directions to “ DR. GAIL ANN ELLIOTT PHARMD” Practice Location

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