| NPI | 1700667409 |
|---|---|
| Doing Business As | AVENUE HEALTH |
| Entity Type | Organization |
| Authorized Contact | ROHIT SHETA CEO & Pharmacist In Charge 909-206-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-30 |