Provider Demographics
NPI:1346432168
Name:ELSNER, ROY (RPH)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:
Last Name:ELSNER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:568 SPRING VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:SPRING CREEK
Mailing Address - State:NV
Mailing Address - Zip Code:89815-6821
Mailing Address - Country:US
Mailing Address - Phone:775-778-3784
Mailing Address - Fax:775-778-3797
Practice Address - Street 1:568 SPRING VALLEY CT
Practice Address - Street 2:
Practice Address - City:SPRING CREEK
Practice Address - State:NV
Practice Address - Zip Code:89815
Practice Address - Country:US
Practice Address - Phone:775-778-3784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPH022423336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
6063250001Medicare NSC