Organization
CCCRI INC
Active
Other names
Elite Rx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RHEA ORTIZ LUIS (OWNER)
(714) 874-5076
Entity
Organization
Contact information
Practice address
2705 W LINCOLN AVE, ANAHEIM, CA 92801-6325
(714) 874-5076
Mailing address
2705 W LINCOLN AVE, ANAHEIM, CA 92801-6325
(714) 874-5076
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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