Provider Demographics
NPI:1750509295
Name:ELKINS, MARY M (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:M
Last Name:ELKINS
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8204 AUGUSTA ROAD
Mailing Address - Street 2:QUICK RX
Mailing Address - City:GARDEN CITY
Mailing Address - State:GA
Mailing Address - Zip Code:31408
Mailing Address - Country:US
Mailing Address - Phone:912-968-5665
Mailing Address - Fax:912-964-9699
Practice Address - Street 1:8204 AUGUSTA ROAD
Practice Address - Street 2:QUICK RX
Practice Address - City:GARDEN CITY
Practice Address - State:GA
Practice Address - Zip Code:31408
Practice Address - Country:US
Practice Address - Phone:912-966-5665
Practice Address - Fax:912-964-9699
Is Sole Proprietor?:No
Enumeration Date:2007-04-22
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA11302183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist