| Organization Name: | ELKABARY ENTERPRISES LLC |
| NPI Number: | 1538527130 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EMAN (AMY) ALYELDIN (OWNER / MANAGER) |
| Mailing Address: | 13135 Kings Lake Dr Unit 102 Gibsonton |
| State: | FL US |
| Postal Code: | 335343960 |
| Phone Number: | 8136778811 |
| Fax Number: | 8136778812 |
| NPI Enumeration Date: | 02/10/2016 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0004X |
| License Number: | PH 29982 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Compounding Pharmacy |
| Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |