Organization
ELITE PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANAN ELSIBAI PHARMD (OWNER/PIC)
(313) 663-0088
Entity
Organization
Contact information
Practice address
15400 MICHIGAN AVE STE 2, DEARBORN, MI 48126-3491
(313) 663-0088
Mailing address
15400 MICHIGAN AVE STE 2, DEARBORN, MI 48126-3491
(313) 663-0088
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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