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NPI Code Detail

MEDICARE: ELITE RX

MEDICARE: ELITE RX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0004XCompounding Pharmacy
23336H0001XHome Infusion Therapy Pharmacy
33336M0002XMail Order Pharmacy
43336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1710743471
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELITE RX
Provider Business Mailing Address
First Line : 5960 THIROS CIRCLE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146
Country : US
Telephone Number : 702-673-2216
Fax Number : 702-768-8982
Provider Business Practice Location Address
First Line : 4845 S RAINBOW BLVD STE 403
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-4750
Country : US
Telephone Number : 702-538-9388
Fax Number : 702-776-8982
Authorized Official
Title or Position : PHARMACIST
Name : JEFFREY S LANG
Credential : PHARMD
Telephone Number : 702-538-9388
Provider Enumeration Date : 02/21/2024
Last Update Date : 11/16/2024

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Directions to “ELITE RX ” Practice Location

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