Organization
I4H PHARMACY LLC
Active
Other names
I4H Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SEEMA SIDDIQUI (PRESIDENT)
(951) 499-4911
Entity
Organization
Contact information
Practice address
11705 SLATE AVE STE 100, RIVERSIDE, CA 92505-5198
(909) 328-4383
Mailing address
11705 SLATE AVE STE 100, RIVERSIDE, CA 92505-5198
(951) 499-4911
(951) 324-1205
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811557366
—
CA
01
—
PHY58883
PHARMACY PERMIT
CA
Enumeration date
06/17/2019
Last updated
05/02/2023
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