Provider Demographics
NPI:1346251923
Name:NADS-RX PHARMACY A PROFESSIONAL CORP
Entity Type:Organization
Organization Name:NADS-RX PHARMACY A PROFESSIONAL CORP
Other - Org Name:ARLINGTON PRESCRIPTION PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PIC/AO
Authorized Official - Prefix:
Authorized Official - First Name:ADEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBADAWI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-688-5232
Mailing Address - Street 1:8990 GARFIELD ST
Mailing Address - Street 2:STE 12
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-3926
Mailing Address - Country:US
Mailing Address - Phone:951-688-5232
Mailing Address - Fax:951-688-6927
Practice Address - Street 1:8990 GARFIELD ST
Practice Address - Street 2:STE 12
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3926
Practice Address - Country:US
Practice Address - Phone:951-688-5232
Practice Address - Fax:951-688-6927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CAPHY473073336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA473070Medicaid
1995367OtherPK
1141390001Medicare NSC