Elliott, William Rudolph

Elliott, William Rudolph is an sole proprietor health care provider with primary practice located at 6331 Eastwood Ln , Jacksonville FL 32211-3918. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Elliott, William Rudolph can be contacted via phone (904) 314-4022.

Contact Information

Primary practice address
6331 Eastwood Ln Jacksonville FL 32211-3918
Phone: (904) 314-4022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS19392 Florida
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PS19392 Florida

Profile Details

NPI number 1831438795
LBN Legal business name Elliott, William Rudolph
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2013
Last updated Mar 18th, 2021 - about 3 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 1831438795 NPPES
Florida MEDICAID PS19392

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