Organization
E.V.A. HEALTH LLC
Active
Other names
Citrus Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD NOUR RPH, APH (OWNER)
(626) 261-4400
Entity
Organization
Contact information
Practice address
15869 AMAR RD., LA PUENTE, CA 91744-2107
(626) 261-4400
(626) 261-4948
Mailing address
15869 AMAR RD., LA PUENTE, CA 91744
(626) 261-4400
(626) 261-4948
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55516
STATE PHARMACY LICENSE
CA
Enumeration date
03/24/2022
Last updated
06/11/2025
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