Provider Demographics
NPI:1679031199
Name:FIRST ELITE PHARMACY
Entity Type:Organization
Organization Name:FIRST ELITE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TUAN
Authorized Official - Middle Name:HOANG
Authorized Official - Last Name:LUU
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR OF PHARMACY
Authorized Official - Phone:281-717-4404
Mailing Address - Street 1:PO BOX 84138
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77284
Mailing Address - Country:US
Mailing Address - Phone:281-717-4404
Mailing Address - Fax:281-717-4796
Practice Address - Street 1:1525 S MASON RD STE 200
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-4559
Practice Address - Country:US
Practice Address - Phone:281-717-4404
Practice Address - Fax:281-717-4796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy