Organization
LALIBELA, LTD
Active
Other names
Elite Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YAKOV BEREZHINSKY (PRESIDENT)
(215) 315-8980
Entity
Organization
Contact information
Practice address
9892 BUSTLETON AVE STE 102, PHILADELPHIA, PA 19115-2138
(215) 315-8980
(215) 315-8984
Mailing address
9892 BUSTLETON AVE STE 102, PHILADELPHIA, PA 19115-2138
(215) 315-8980
(215) 315-8984
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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