Organization
MDP PRODUCTS AND SERVICES
Active
Other names
Elite Rx
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE SINGH (OPERATIONS MANAGER)
(954) 371-6122
Entity
Organization
Contact information
Practice address
6602 STIRLING RD, HOLLYWOOD, FL 33024-1954
(855) 693-5483
(855) 693-5483
Mailing address
10930 SW 13TH ST, PEMBROKE PINES, FL 33025-3544
(954) 371-6122
(855) 693-5483
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH32318
STATE LICENSE
FL
Enumeration date
12/02/2019
Last updated
09/06/2023
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