Organization
ELITE RX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL RYAN ROBNETT (CO-OWNER)
(205) 522-1559
Entity
Organization
Contact information
Practice address
135 GEMINI CIR STE 201, BIRMINGHAM, AL 35209-5842
(205) 945-6705
(205) 945-6703
Mailing address
135 GEMINI CIR STE 201, BIRMINGHAM, AL 35209-5842
(205) 945-6705
(205) 945-6703
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113816
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113816
STATE PERMIT
AL
Enumeration date
10/12/2011
Last updated
04/28/2015
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