Desert Pharmacy
LBN: Desert Pharmacy
Desert Pharmacy is an health care organization with primary practice located at 1560 S Imperial Ave , El Centro CA 92243-4241. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Desert Pharmacy can be contacted via phone (760) 997-7800, or through Teague, John Paul via phone (760) 997-7800.
Contact Information
Primary practice address
1560 S Imperial Ave
El Centro CA 92243-4241
Phone: (760) 997-7800
Fax: (760) 997-7801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 55856 | California |
Profile Details
| NPI number | 1053826792 |
|---|---|
| LBN Legal business name | Desert Pharmacy |
| DBA Doing business as | |
| Authorized official | Teague, John Paul PHARM.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2017 |
| Last updated | Jan 31st, 2022 - about 2 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053826792 | NPPES |
| California | Other | 57741 | PHARMACY LICENSE CALIFORNIA BOARD OF PHARMACY |
| California | MEDICAID | PHY2154641 | PHARMACY LICENSE CALIFORNIA BOARD OF PHARMACY |
| California | Other | 5665027 | PHARMACY LICENSE CALIFORNIA BOARD OF PHARMACY |
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