Organization
ELITE CARE PHARMACY INC
Active
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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