# R.A ELITE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ELITE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154567741
- **Authorized official:** MR. RUBEN FATAKHOV (PRESIDENT)
- **Authorized official phone:** (718) 263-8100

## Contact information

- **Practice address:** 7537 MAIN ST, FLUSHING, NY 11367-3136
- **Practice address phone:** (718) 263-8100
- **Practice address fax:** (718) 263-8111
- **Mailing address:** 7537 MAIN ST, FLUSHING, NY 11367-3136
- **Mailing address phone:** (718) 263-8100
- **Mailing address fax:** (718) 263-8111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 029208 | NY | Yes |

## Other

- **Enumeration date:** 01/02/2009
- **Last updated:** 12/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 029208 | LICENSE | NY |