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Organization

ELITE CARE PHARMACY INC

Active
Other names
ELITE CARE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LUSIK L. DAVTYAN PHARMACY TECH (PRESIDENT / OWNER)
(323) 426-9990
Entity
Organization

Contact information

Practice address
5101 SANTA MONICA BLVD, #6, LOS ANGELES, CA 90029-2478
(323) 426-9990
(323) 522-3611
Mailing address
5101 SANTA MONICA BLVD, #6, LOS ANGELES, CA 90029-2478
(323) 426-9990
(323) 522-3611

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 54582
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PHY 54582
CALIFORNIA STATE BOARD OF PHARMACY PERMIT
CA
Enumeration date
01/13/2010
Last updated
09/23/2016
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