Coachella Valley Pharmacy, Inc

LBN: Coachella Valley Pharmacy, Inc
Coachella Valley Pharmacy, Inc is an health care organization with primary practice located at 77932 Country Club Dr Ste #2-2, Palm Desert CA 92211-3407. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Coachella Valley Pharmacy, Inc can be contacted via phone (760) 223-7188, or through Lua, Peachy via phone (760) 223-7188.

Contact Information

Primary practice address
77932 Country Club Dr Ste #2-2 Palm Desert CA 92211-3407
Fax: (760) 223-7187
Website:
Authorized official contact:
Name: Lua, Peachy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY54524 California
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1679026801
LBN Legal business name Coachella Valley Pharmacy, Inc
DBA Doing business as Coachella Valley Pharmacy, Inc
Authorized official Lua, Peachy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2016
Last updated May 8th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679026801 NPPES
Other 2162354 PK

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