Organization
ELITE RX INC
Active
Other names
Pill Box Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PANG YANG (PIC/PRESIDENT)
(559) 492-2162
Entity
Organization
Contact information
Practice address
2608 E ASHLAN AVE, FRESNO, CA 93726-3207
(559) 492-2162
(559) 283-8441
Mailing address
5187 N FIRST ST SUITE 101, FRESNO, CA 93710-3207
(559) 492-2162
(559) 283-8441
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50668
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5641243
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/20/2011
Last updated
03/09/2022
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