| NPI | 1528319340 |
|---|---|
| Doing Business As | ELITE COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HUGH E. FREED Director 954-346-6107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24253) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |