# RAINCROSS OUTPATIENT PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RAINCROSS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124711684
- **Authorized official:** RAMESH UPADHYAYULA (CEO/SECRETARY)
- **Authorized official phone:** (951) 892-5828

## Contact information

- **Practice address:** 4646 BROCKTON AVE STE 104, RIVERSIDE, CA 92506-0103
- **Practice address phone:** (951) 788-4646
- **Practice address fax:** (951) 774-2836
- **Mailing address:** 4646 BROCKTON AVE STE 104, RIVERSIDE, CA 92506-0103
- **Mailing address phone:** (951) 788-4646
- **Mailing address fax:** (951) 774-2836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/31/2023
- **Last updated:** 05/31/2023