Individual provider · Type 1 NPI

Mattie Anita Elam, PharmD

Pharmacist · Fort Gordon, GA

NPI number 1497911788 Active

Practice location

300 W Hospital Rd, Eisenhower Army Medical Center
Fort Gordon, GA 30905-5741

Call (706) 787-2720 Map

Fax (706) 787-8176

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH015725 (GA)
Pharmacist 183500000XT09902 (MS)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1497911788

Mattie Anita Elam, PharmD's National Provider Identifier is 1497911788, issued on Aug 6, 2008. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Gordon, GA. The record was last updated on Aug 6, 2008.