| NPI | 1215164223 |
|---|---|
| Doing Business As | ELEVATE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PAYAM SHABBOUI President/CEO/PIC 310-657-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2024-03-26 |