Avella Of Columbus Inc

NPI 1861580482

Information of Avella Of Columbus Inc

The NPI 1861580482 is an Organization type. NPI No 1861580482 belongs to Avella Of Columbus Inc. Avella Of Columbus Inc specializes in Compounding Pharmacy. is practising at 4830 Knightsbridge Blvd Ste C, Columbus, Ohio 43214. You can also contact him via phone number (614) 360-2800.

Practice address located

  • 4830 Knightsbridge Blvd Ste C
  • Columbus, Ohio 43214
  • (614) 360-2800
  • (614) 360-2800

Mailling address located

  • 24416 N 19th Ave
  • Phoenix, Arizona 85085
  • (877) 719-6349
  • (877) 719-6362
Avella Of Columbus Inc is PECOS enrolled.
NPI No 1861580482
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes3336C0003XCommunity/Retail Pharmacy02-1623650Ohio
No3336C0004XCompounding Pharmacy02-1623650Ohio
No3336S0011XSpecialty Pharmacy02-1623650Ohio
Identifier for this provider
StateIdentifierTypeIssuer
LA1235571Medicaidn/a
IN200869080 AMedicaidn/a
OH2717117Medicaidn/a
n/a3675444OtherNCPDP
n/a5830180001Medicare NSCn/a
KY7100119430Medicaidn/a
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