Provider Demographics
NPI:1437456860
Name:ELWARD, NANCY P (BSCPHM)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:P
Last Name:ELWARD
Suffix:
Gender:F
Credentials:BSCPHM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 HIGHWAY 54 W
Mailing Address - Street 2:RITE AID PHARMACY
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-4500
Mailing Address - Country:US
Mailing Address - Phone:770-719-3340
Mailing Address - Fax:770-719-5176
Practice Address - Street 1:403 LAS BRASIS CT
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-4262
Practice Address - Country:US
Practice Address - Phone:404-401-0263
Practice Address - Fax:770-632-5980
Is Sole Proprietor?:No
Enumeration Date:2011-02-21
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH023063183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist