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NPI Code Detail

MEDICARE: CHRISTINA ELLIOTT PHARMD

MEDICARE:   CHRISTINA  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
1183500000XPharmacistPS54027FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PS54027OTHERFLDEPARTMENT OF HEALTH

General Provider Information

NPI Number : 1235506957
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA ELLIOTT PHARMD
Provider Business Mailing Address
First Line : 8403 GRAND ESTUARY TRL
Second Line : UNIT 302
City : BRADENTON
State : FL
Zip : 34212-4270
Country : US
Telephone Number : 704-473-6974
Fax Number :
Provider Business Practice Location Address
First Line : 8403 GRAND ESTUARY TRL
Second Line : UNIT 302
City : BRADENTON
State : FL
Zip : 34212-4270
Country : US
Telephone Number : 704-473-6974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2015
Last Update Date : 08/28/2015

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Directions to “ CHRISTINA ELLIOTT PHARMD” Practice Location

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