Organization
ELITE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YENIS LORENZO (PRESIDENT)
(813) 464-1788
Entity
Organization
Contact information
Practice address
7011 N MANHATTAN AVE, TAMPA, FL 33614-3714
(813) 373-5709
(813) 373-5483
Mailing address
7011 N MANHATTAN AVE, TAMPA, FL 33614-3714
(813) 373-5709
(813) 373-5483
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH33791
COMMUNITY / RETAIL PHARMACY
FL
Enumeration date
04/25/2022
Last updated
04/25/2022
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