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Organization
R.A ELITE INC
Active
Organization
R.A ELITE INC
Active
Other names
ELITE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN FATAKHOV (PRESIDENT)
(718) 263-8100
Entity
Organization
Contact information
Practice address
7537 MAIN ST, FLUSHING, NY 11367-3136
(718) 263-8100
(718) 263-8111
Mailing address
7537 MAIN ST, FLUSHING, NY 11367-3136
(718) 263-8100
(718) 263-8111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
029208
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029208
LICENSE
NY
Enumeration date
01/02/2009
Last updated
12/20/2011
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