Healthcare Provider Details

I. General information

NPI: 1740108745
Provider Name (Legal Business Name): ELITE PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 E ROOSEVELT RD
LOMBARD IL
60148-4740
US

IV. Provider business mailing address

641 E ROOSEVELT RD
LOMBARD IL
60148-4740
US

V. Phone/Fax

Practice location:
  • Phone: 708-990-5010
  • Fax:
Mailing address:
  • Phone: 708-990-5010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: NASEEM ALRAFATI
Title or Position: PHARMACY MANAGER
Credential: PHARMD
Phone: 708-990-5010