Broullire, Elizabeth Phillips

Broullire, Elizabeth Phillips is an individual health care provider with primary practice located at 630 Atlantic Blvd. , Neptune Beach FL 32266. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Broullire, Elizabeth Phillips can be contacted via phone (904) 249-1725.

Contact Information

Primary practice address
630 Atlantic Blvd. Neptune Beach FL 32266
Phone: (904) 249-1725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS 51887 Florida
Pharmacy Service Providers / Pharmacist 183500000X RPH028141 Georgia

Profile Details

NPI number 1689074817
LBN Legal business name Broullire, Elizabeth Phillips
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2014
Last updated Dec 16th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689074817 NPPES
Florida Other PS 51887 FLORIDA PHARMACIST LICENSE
Florida Other RPH028141 FLORIDA PHARMACIST LICENSE

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