Organization
ELITE PHARMACY,INC
Active
Other names
Elite Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EDRICK SMITH (MANAGING MEMBER)
(832) 231-6566
Entity
Organization
Contact information
Practice address
740 W LITTLE YORK RD STE C, HOUSTON, TX 77091-2426
(281) 820-3060
(281) 820-3083
Mailing address
740 W LITTLE YORK RD STE C, HOUSTON, TX 77091
(281) 820-3060
(281) 820-3083
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5905560
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/03/2012
Last updated
04/03/2012
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