Duvall, Elliott A

Duvall, Elliott A is an sole proprietor health care provider with primary practice located at 10460 Al Highway 168 Suite #1, Boaz AL 35957-1951. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Duvall, Elliott A can be contacted via phone (256) 593-6546.

Contact Information

Primary practice address
10460 Al Highway 168 Suite #1 Boaz AL 35957-1951
Fax: (256) 593-3137
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P16745 Alabama

Profile Details

NPI number 1205194768
LBN Legal business name Duvall, Elliott A
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2012
Last updated May 2nd, 2012 - about 13 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 1205194768 NPPES
Alabama MEDICAID 100001098

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