Elliott Pharmacy

LBN: Clifton G. Elliott, Llc
Elliott Pharmacy is an health care organization with primary practice located at 77395 Landry Dr , Maringouin LA 70757-3208. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Clifton G. Elliott, Llc can be contacted via phone (225) 625-2353, or through Elliott, Clifton via phone (225) 625-2353.

Contact Information

Primary practice address
77395 Landry Dr Maringouin LA 70757-3208
Phone: (225) 625-2353
Fax: (225) 625-3144
Website:
Map and Directions
Authorized official contact:
Name: Elliott, Clifton
Phone: (225) 625-2353

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 4742IR Louisiana
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1003033101
LBN Legal business name Clifton G. Elliott, Llc
DBA Doing business as Elliott Pharmacy
Authorized official Elliott, Clifton
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Aug 15th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003033101 NPPES
Louisiana MEDICAID 1270806
Louisiana Other 2028923

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