Organization
CCCRI INC
Active
Organization
CCCRI INC
Active
Other names
ELITERX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RHEA ORTIZ-LUIS (CEO)
(714) 874-5076
Entity
Organization
Contact information
Practice address
2705 W LINCOLN AVE, ANAHEIM, CA 92801-6325
(714) 874-5076
(714) 876-0705
Mailing address
2705 W LINCOLN AVE, ANAHEIM, CA 92801-6325
(714) 874-5076
(714) 876-0705
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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