Elleys Pharmacy

Organization Active NPI Community/Retail Pharmacy · Buckner, MO

NPI 1881748754 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1881748754
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
003996 (MO)
Legal business name
ELLEYS PHARMACY
Practice address
306 S Hudson
Buckner, MO 64016-0108
Phone
(816) 650-5611
Fax
(816) 650-5611
NPI assigned
Jan 22, 2007
Organization subpart
No

Authorized official

Name
Mr. William Russell Elley, RPH
Title
Pharmacist Owner
Phone
(816) 650-5611

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Elleys Pharmacy (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 003996 MO Yes

Addresses

Primary practice location

306 S Hudson
Buckner, MO 64016-0108

Mailing address

306 S Hudson
Box 108
Buckner, MO 64016-0108
Phone (816) 650-5611

Other providers in Buckner, MO

All providers in Buckner, MO · Community/Retail Pharmacy in Missouri

Sources for this page

Verify at the official NPI Registry.