Elliott Pharmacy Inc.
Organization Active NPI Community/Retail Pharmacy · Lindale, TX
NPI 1255448296 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1255448296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 16420 (TX)
- Legal business name
- ELLIOTT PHARMACY INC.
- Practice address
- 14077 FM 849
Lindale, TX 75771-5160 - Phone
- (903) 882-3312
- Fax
- (903) 882-8579
- NPI assigned
- Aug 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. April Cecelia Bonds, RPH
- Title
- Owner
- Phone
- (903) 882-3312
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 16420 | TX | Yes |
Addresses
Primary practice location
14077 FM 849
Lindale, TX 75771-5160
Mailing address
14077 FM 849
Lindale, TX 75771-5160
Phone (903) 882-3312
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144268 | Medicaid | TX | |
| W0091602 | Other | TX | DPS NUMBER |
| 16420 | Other | TX | PHARMACY LICENSE NUMBER |
Other providers in Lindale, TX
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- Etmc Physician Group Inc.
- Express Eyewear LLC
- Lisa Ferguson
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- Shannon Finklea
All providers in Lindale, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. 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.