# GOLDEN ELITE PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689736969
- **Authorized official:** MRS. ROSARIO R QUINIO (PHARMACY MANAGER)
- **Authorized official phone:** (626) 576-2418

## Contact information

- **Practice address:** 2048 PEPPER ST, ALHAMBRA, CA 91801
- **Practice address phone:** (626) 576-2418
- **Practice address fax:** (626) 576-5804
- **Mailing address:** 2048 PEPPER ST, ALHAMBRA, CA 91801-3162
- **Mailing address phone:** (626) 576-2418
- **Mailing address fax:** (626) 576-5804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 32301 | CA | — |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | — |
| 310500000X | Mental Illness Intermediate Care Facility | — | NULL | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | — |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 41642 | CA | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 05/18/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PHA416420 | — | CA |