Viola Elliott
Individual provider Active NPI Pharmacist · Dallas, NC
NPI 1184092264 · NPPES record last updated Sep 8, 2015
Key facts
- NPI
- 1184092264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 09217 (NC)
- Practice address
- 425 S Lawrence St
Dallas, NC 28034-1913 - Phone
- (704) 215-7274
- NPI assigned
- Sep 8, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09217 | NC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 09217 | NC | Yes |
Addresses
Primary practice location
425 S Lawrence St
Dallas, NC 28034-1913
Mailing address
425 S Lawrence St
Dallas, NC 28034-1913
Other providers in Dallas, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.