| NPI | 1154567741 |
|---|---|
| Doing Business As | ELITE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RUBEN FATAKHOV President 718-263-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 029208) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2011-12-20 |