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ELLIOTTS PHARMACY INC. NPI 1710902705


NPI Information

NPI: 1710902705
Provider Name: ELLIOTTS PHARMACY INC.
Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
4835 EL CAMINO REAL
ATASCADERO, CA
ZIP 93422
Phone: (805) 460-2609
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ELLIOTTS PHARMACY INC. is a home infusion therapy pharmacy pharmacy in Atascadero, CA. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. ELLIOTTS PHARMACY INC. NPI is 1710902705. The provider is registered as an organization entity type.

The provider's business location address is:

4835 EL CAMINO REAL
ATASCADERO, CA
ZIP 93422-759
Phone: (805) 460-2609
Fax: (805) 460-2611

The provider's authorized official is Ashe Wahba .
The authorized official title is Owner and has the following contact phone number (805) 460-2614.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336H0001XPharmacyHome Infusion Therapy PharmacyPHY46239CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHA462390MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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