Provider Demographics
NPI:1669265286
Name:COLFAX PHARMACEUTICAL INC
Entity type:Organization
Organization Name:COLFAX PHARMACEUTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENYAMIN
Authorized Official - Middle Name:SOLAIMAN
Authorized Official - Last Name:TEHRANI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:310-820-1496
Mailing Address - Street 1:11980 SAN VICENTE BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-6602
Mailing Address - Country:US
Mailing Address - Phone:310-820-1496
Mailing Address - Fax:310-820-4186
Practice Address - Street 1:11980 SAN VICENTE BLVD STE 104
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-6602
Practice Address - Country:US
Practice Address - Phone:310-820-1496
Practice Address - Fax:310-820-4186
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLFAX PHARMACEUTICAL INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-27
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy