Organization
LALIBELA, LTD
Active
Other names
ELITE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YAKOV BEREZHINSKY (PRESIDENT)
(267) 226-6896
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
(267) 939-8449
(215) 560-8996
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482640
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103106169001
—
PA
Enumeration date
05/02/2016
Last updated
06/05/2025
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