Organization
ELITE RETAIL PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THANH CONG VAN R.PH. (PRESIDENT)
(234) 631-1173
Entity
Organization
Contact information
Practice address
840 111TH AVE N STE 7, NAPLES, FL 34108-1868
(239) 631-1173
(239) 631-1174
Mailing address
840 111TH AVE N STE 7, NAPLES, FL 34108-1868
(239) 631-1173
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH30842
FL
Other
Enumeration date
07/23/2017
Last updated
07/21/2022
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