Provider Demographics
NPI:1235637406
Name:ELITE PHARMACY SERVICES, LLC
Entity Type:Organization
Organization Name:ELITE PHARMACY SERVICES, LLC
Other - Org Name:DISCOUNT PLUS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-521-1590
Mailing Address - Street 1:7125 W FUQUA DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-2451
Mailing Address - Country:US
Mailing Address - Phone:281-272-6165
Mailing Address - Fax:713-583-8207
Practice Address - Street 1:7125 W FUQUA DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-2451
Practice Address - Country:US
Practice Address - Phone:281-272-6165
Practice Address - Fax:713-583-8207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-23
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX318173336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy