# CCCRI INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elite Rx Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316619620
- **Authorized official:** RHEA ORTIZ LUIS (OWNER)
- **Authorized official phone:** (714) 874-5076

## Contact information

- **Practice address:** 2705 W LINCOLN AVE, ANAHEIM, CA 92801-6325
- **Practice address phone:** (714) 874-5076
- **Mailing address:** 2705 W LINCOLN AVE, ANAHEIM, CA 92801-6325
- **Mailing address phone:** (714) 874-5076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2021
- **Last updated:** 10/05/2021