Healthcare Provider Details

I. General information

NPI: 1558795385
Provider Name (Legal Business Name): NRH ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2013
Last Update Date: 05/22/2023
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1778 COLUMBIA AVE STE 3
RIVERSIDE CA
92507
US

IV. Provider business mailing address

1778 COLUMBIA AVE STE 3
RIVERSIDE CA
92507-2019
US

V. Phone/Fax

Practice location:
  • Phone: 951-530-8800
  • Fax: 951-530-4801
Mailing address:
  • Phone: 951-530-8800
  • Fax: 951-530-4801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: NADEEM RIBHI HAMAD
Title or Position: PRESIDENT/CEO
Credential: PHARM D
Phone: 951-530-8800