OrganizationElite Rx, LlcPharmacySuppliersPractice Address135 Gemini Cir Ste 201, Birmingham, AL 35209-5842(205) 945-6705PECOS EnrollmentBased on the most recent information from CMS, provider Elite Rx, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1053696880Provider TypeOrganizationFull NameElite Rx, LlcSubpartNoEnumeration Date10/12/2011Last Updated4/28/2015Contact InformationPractice LocationPractice Address135 Gemini Cir Ste 201, Birmingham, AL 35209-5842Phone(205) 945-6705Fax(205) 945-6703Mailing LocationMailing Address135 Gemini Cir Ste 201, Birmingham, AL 35209-5842Phone(205) 945-6705Fax(205) 945-6703Authorized OfficialNameRobnett, Daniel Ryan (Co-Owner)Phone(205) 522-1559Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicense113816AlabamaProvider IdentifiersIDDescriptionIssuerID113816DescriptionOtherIssuerSTATE PERMITAlabama