| NPI | 1558795385 |
|---|---|
| Doing Business As | COLUMBIA AVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NADEEM RIBHI HAMAD President/CEO 951-530-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2023-05-22 |