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General NPI Number Information
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NPI Number | 1558805226
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Entity Type | Organization
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Legal Business Name | ELITE PHARMACY INC
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Dates
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Enumeration Date | 12/14/2016
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Last Update Date | 12/14/2016
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Provider Practice Location Address
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Address Line | 7111 BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90036-2538
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Country | US
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Telephone | 323-933-8571
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Fax | 323-647-3313
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Provider Business Mailing Address
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Address Line | 7111 BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90036-2538
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Country | US
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Telephone | 323-933-8571
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Fax | 323-647-3313
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. JONATHAN J. WEISS
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Credential |
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Telephone | 323-933-8571
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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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