Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Nursing Facility Supplies |
332BN1400X | 87 | All Other Suppliers | |
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1013914217 |
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| LBN Legal business name | ELITE PHARMACY, INC. | ||||||||||||||||||||||||||||
| Authorized official | AMAURY ALBERTO - (PRESIDENT) | ||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||
| Enumeration date | 07/01/2005 | ||||||||||||||||||||||||||||
| Last updated | 09/11/2025 - About 9 months ago | ||||||||||||||||||||||||||||
| Identifiers |
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