Provider Demographics
NPI:1811120256
Name:ELLIOTT, MARY ELAINE (RPH)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ELAINE
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2251 YORK CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-4753
Mailing Address - Country:US
Mailing Address - Phone:717-767-2362
Mailing Address - Fax:717-767-2362
Practice Address - Street 1:2251 YORK CROSSING DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-4753
Practice Address - Country:US
Practice Address - Phone:717-767-2362
Practice Address - Fax:717-767-2362
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP035368L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist