Desert Hospital Outpatient Pharmacy
LBN: El Mirador Medical Plaza Pharmacy Inc
Desert Hospital Outpatient Pharmacy is an health care organization with primary practice located at 1180 N Indian Canyon Dr Ste E140 Suite E140, Palm Springs CA 92262-4883. 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 / Pharmacy is the primary health care specialty.
El Mirador Medical Plaza Pharmacy Inc can be contacted via phone (760) 323-1001, or through Upadhyayula, Ramesh via phone (760) 323-1001.
Contact Information
Primary practice address
1180 N Indian Canyon Dr Ste E140 Suite E140
Palm Springs CA 92262-4883
Phone: (760) 323-1001
Fax: (760) 323-1144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHY46465 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1861504854 |
|---|---|
| LBN Legal business name | El Mirador Medical Plaza Pharmacy Inc |
| DBA Doing business as | Desert Hospital Outpatient Pharmacy |
| Authorized official | Upadhyayula, Ramesh |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 17th, 2020 - about 4 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 | 1861504854 | NPPES |
| Other | 2067078 | PK | |
| MEDICAID | PHA464650 | PK |
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