Organization
ESL LLC
Active
Other names
COLUMBIA MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ESLAM MOHAMED (OFFICER/PHARMACIST)
(732) 762-4960
Entity
Organization
Contact information
Practice address
1525 W COURT ST, PASCO, WA 99301-4070
(509) 547-0953
Mailing address
107 ERICA DR, RICHLAND, WA 99352-8463
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4934635
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/21/2012
Last updated
05/24/2012
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