# HEMET VALLEY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HEMET VALLEY HOSPITAL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154307460
- **Authorized official:** STEVE KELSO (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (951) 925-6339

## Contact information

- **Practice address:** 1117 E DEVONSHIRE AVE, HEMET, CA 92543-3083
- **Practice address phone:** (951) 652-2811
- **Practice address fax:** (951) 766-6471
- **Mailing address:** 1117 E DEVONSHIRE AVE, HEMET, CA 92543-3083
- **Mailing address phone:** (951) 652-2811
- **Mailing address fax:** (951) 766-6471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | HSP50382 | CA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/19/2005
- **Last updated:** 11/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1996775 | PK | — |
| 05 | — | PHB326630 | — | CA |