# EL MIRADOR MEDICAL PLAZA PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EL MIRADOR MEDICAL PLAZA PHARMACY INC
- **Other names:** Desert Hospital Outpatient Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669018727
- **Legal business name:** EL MIRADOR MEDICAL PLAZA PHARMACY INC
- **Authorized official:** RAMESH UPADHYAYULA RPH (PRESIDENT)
- **Authorized official phone:** (760) 323-1001

## Contact information

- **Practice address:** 1180 N INDIAN CANYON DR STE E140, PALM SPRINGS, CA 92262-4883
- **Practice address phone:** (760) 323-1001
- **Practice address fax:** (760) 323-1144
- **Mailing address:** 1180 N INDIAN CANYON DR STE E140, PALM SPRINGS, CA 92262-4883
- **Mailing address phone:** (760) 323-1001
- **Mailing address fax:** (760) 323-1144

## Taxonomy

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

## Other

- **Enumeration date:** 11/25/2019
- **Last updated:** 03/17/2020