Organization
ELITE RX MANAGEMENT LLC
Active
Other names
JAC PHARMACY & SURGICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
SEUNG RHEE (SUPERVISING PHARMACIST)
(718) 478-6863
Entity
Organization
Contact information
Practice address
9315 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7943
(718) 478-6863
(718) 478-0093
Mailing address
9315 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7943
(718) 478-6863
(718) 478-0093
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04602580
—
NY
Enumeration date
11/04/2014
Last updated
04/28/2022
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