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General NPI Number Information
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NPI Number | 1497517437
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Entity Type | Organization
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Legal Business Name | ELITE PHARMACY SD CORP
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Dates
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Enumeration Date | 01/25/2024
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 14742 SW 56TH ST
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City | MIAMI
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State | FL
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Zip | 33185-4067
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Country | US
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Telephone | 808-557-7845
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Fax |
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Provider Business Mailing Address
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Address Line | 14742 SW 56TH ST
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City | MIAMI
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State | FL
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Zip | 33185-4067
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Country | US
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Telephone | 808-557-7845
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Fax |
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | DR. LORETA TREJO
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Credential |
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Telephone | 305-381-5477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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