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Organization
ELITE PHARMACY, INC.
Active
Organization
ELITE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMAURY J. ALBERTO (PRESIDENT)
(504) 737-2212
Entity
Organization
Contact information
Practice address
10017 JEFFERSON HWY, SUITE 101, RIVER RIDGE, LA 70123-2471
(504) 737-2212
(504) 737-2272
Mailing address
10017 JEFFERSON HWY, SUITE 101, RIVER RIDGE, LA 70123-2471
(504) 737-2212
(504) 737-2272
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5472-IR
LA
332BN1400X
Nursing Facility Supplies (DME)
5472-IR
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
5472-IR
LA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
5472-IR
LA
333600000X
Pharmacy
5472-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1274771
—
LA
01
—
14-156223
JEFF PARISH OCCUP. LICENS
LA
01
—
1932107
NCPDP NUMBER
—
01
—
545055-2
DEPT OF LABOR NUMBER
LA
01
—
5472-IR
LABP PERMIT NO.
LA
01
—
C005472-IR
LABP CDS PERMIT NO.
LA
Enumeration date
07/01/2005
Last updated
09/11/2025
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