NPI | 1740684604 |
---|---|
Doing Business As | ELIXRX |
Entity Type | Organization |
Authorized Contact | JAKE BLECHTA President 808-397-1336 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: HI PHY-856) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2014-10-21 |
Last Update Date | 2016-02-08 |