Provider Demographics
NPI:1508097171
Name:SILKOWSKI, ELLIOTT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ELLIOTT
Middle Name:
Last Name:SILKOWSKI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 PIERCE ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-5128
Mailing Address - Country:US
Mailing Address - Phone:570-288-6262
Mailing Address - Fax:
Practice Address - Street 1:245 PIERCE ST
Practice Address - Street 2:SUITE 3
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-5128
Practice Address - Country:US
Practice Address - Phone:570-288-6262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439709183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist