# EL MIRADOR MEDICAL PLAZA PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861297178
- **Authorized official:** MR. RAMESH UPADHYAYULA RPH (PRESIDENT)
- **Authorized official phone:** (760) 323-1001

## Contact information

- **Practice address:** 21634 RETREAT PKWY STE 101, TEMESCAL VALLEY, CA 92883-6100
- **Practice address phone:** (951) 963-3330
- **Practice address fax:** (951) 963-3331
- **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 |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/19/2025
- **Last updated:** 02/19/2025