Elliotts Pharmacy Inc.

LBN: Elliotts Pharmacy Inc.
Elliotts Pharmacy Inc. is an health care organization with primary practice located at 4835 El Camino Real , Atascadero CA 93422-2759. The organization recently has only one registered license in Suppliers / Home Infusion Therapy Pharmacy, which is considered as the primary health care specialty. Elliotts Pharmacy Inc. can be contacted via phone (805) 460-2609, or through Wahba, Ashe via phone (805) 460-2614.

Contact Information

Primary practice address
4835 El Camino Real Atascadero CA 93422-2759
Phone: (805) 460-2609
Fax: (805) 460-2611
Website:
Map and Directions
Authorized official contact:
Name: Wahba, Ashe
Phone: (805) 460-2614

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PHY46239 California

Profile Details

NPI number 1710902705
LBN Legal business name Elliotts Pharmacy Inc.
DBA Doing business as
Authorized official Wahba, Ashe
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1710902705 NPPES
California MEDICAID PHA462390

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