NPI 1003033101

Clifton G. Elliott, LLC

Organisation Community/Retail Pharmacy Maringouin, LA

Practice location

Address: 77395 Landry Dr, Maringouin, LA 70757-3208
Phone: (225) 625-2353
Fax: (225) 625-3144
Mailing address: PO Box 86, Maringouin, LA 70757-0086

Authorised official

Name: Clifton Elliott
Title: Owner
Phone: (225) 625-2353

Registered specialties (3)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 4742IR (LA)

Other Pharmacy providers in Louisiana →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Long Term Care Pharmacy

Suppliers Taxonomy 3336L0003X

Registry record

NPI: 1003033101
Entity type: Organization
NPI issued: 19 Apr 2007
Record last updated: 15 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.