| NPI | 1558847392 |
|---|---|
| Doing Business As | AVENUE HEALTH |
| Entity Type | Organization |
| Authorized Contact | ROHIT SHETA CEO 909-206-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2023-09-19 |