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NPI Code Detail

MEDICARE: DR. WILLIAM JOSEPH ELLIOTT III PHARM.D., BCPS

MEDICARE: DR. WILLIAM JOSEPH ELLIOTT III PHARM.D., BCPS
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
1183500000XPharmacist13011NC
21835P1200XPharmacotherapy Pharmacist13011NC

General Provider Information

NPI Number : 1700881604
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM JOSEPH ELLIOTT III PHARM.D., BCPS
Provider Business Mailing Address
First Line : 2300 RAMSEY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28301-3856
Country : US
Telephone Number : 910-822-7956
Fax Number : 910-822-7945
Provider Business Practice Location Address
First Line : 2300 RAMSEY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28301-3856
Country : US
Telephone Number : 910-822-7956
Fax Number : 910-822-7945
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 03/22/2010

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