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Organization
EL MIRADOR MEDICAL PLAZA PHARMACY INC.
Active
Organization
EL MIRADOR MEDICAL PLAZA PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMESH UPADHYAYULA RPH (PRESIDENT)
(760) 323-1001
Entity
Organization
Contact information
Practice address
21634 RETREAT PKWY STE 101, TEMESCAL VALLEY, CA 92883-6100
(951) 963-3330
(951) 963-3331
Mailing address
1180 N INDIAN CANYON DR STE E140, PALM SPRINGS, CA 92262-4883
(760) 323-1001
(760) 323-1144
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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