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COACHELLA VALLEY PHARMACY NPI 1679026801


NPI Information

NPI: 1679026801
Provider Name: COACHELLA VALLEY PHARMACY

Doing Business As: COACHELLA VALLEY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
77932 COUNTRY CLUB DR
STE #2-2
PALM DESERT, CA
ZIP 92211
Phone: (760) 223-7188
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COACHELLA VALLEY PHARMACY is a community/retail pharmacy pharmacy in Palm Desert, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. COACHELLA VALLEY PHARMACY NPI is 1679026801. The provider is registered as an organization entity type.
The provider Is Doing Business As Coachella Valley Pharmacy.

The provider's business location address is:

77932 COUNTRY CLUB DR
STE #2-2
PALM DESERT, CA
ZIP 92211-407
Phone: (760) 223-7188
Fax: (760) 223-7187

The provider's authorized official is Peachy Lua .
The authorized official title is Ceo / Pic and has the following contact phone number (760) 223-7188.

The enumeration date for this NPI number is 7/23/2016 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyNo
2333600000XPharmacyNo
33336S0011XPharmacySpecialty PharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyPHY54524CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12162354OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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