Cccri INC
Pharmacy, Long Term Care Pharmacy in Anaheim, CA. Organization (NPI-2).
NPI number1316619620
StatusActive
Last updated in NPPESOct 5, 2021
Details
- NPI
- 1316619620
- Entity type
- Organization (NPI-2)
- Legal business name
- Cccri INC
- Organization subpart
- No
- Enumeration date
- Oct 5, 2021
- Certification date
- Sep 3, 2021
- Last updated
- Oct 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
Other names
- Elite Rx Pharmacy (Doing Business As)
Practice location
2705 W Lincoln AveAnaheim, CA 92801-6325
Phone 714-874-5076
Mailing address
2705 W Lincoln AveAnaheim, CA 92801-6325
Phone 714-874-5076
Authorized official
Rhea Ortiz Luis
Owner
7148745076
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