Provider Demographics
NPI:1710655758
Name:ELEK, MILENA (RPH)
Entity Type:Individual
Prefix:
First Name:MILENA
Middle Name:
Last Name:ELEK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2627 E MELROSE ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-7524
Mailing Address - Country:US
Mailing Address - Phone:480-435-1193
Mailing Address - Fax:
Practice Address - Street 1:7300 W DETROIT ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-2410
Practice Address - Country:US
Practice Address - Phone:844-747-6442
Practice Address - Fax:602-747-2170
Is Sole Proprietor?:No
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS025155183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist