# PARKVIEW MEDICAL PLAZA PHARMACY LTC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PARKVIEW MEDICAL PLAZA PHARMCY INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114245495
- **Legal business name:** PARKVIEW MEDICAL PLAZA PHARMCY INC
- **Authorized official:** RAMESH UPADHYAYULA RPH (PRESIDENT)
- **Authorized official phone:** (951) 892-5828

## Contact information

- **Practice address:** 3975 JACKSON ST STE 111, RIVERSIDE, CA 92503-3946
- **Practice address phone:** (951) 637-7054
- **Mailing address:** 3975 JACKSON ST STE 111, RIVERSIDE, CA 92503-3946
- **Mailing address phone:** (951) 637-7054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PHY50195 | CA | Yes |

## Other

- **Enumeration date:** 05/11/2010
- **Last updated:** 05/11/2010