Organization
IMPERIAL VALLEY PHARMACY LLC
Active
Other names
IMPERIAL VALLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PRASHANT KOYANI (OWNER)
(760) 970-5800
Entity
Organization
Contact information
Practice address
1487 OCOTILLO DR, EL CENTRO, CA 92243-4212
(760) 970-5800
Mailing address
1487 OCOTILLO DR, EL CENTRO, CA 92243-4212
(760) 970-5800
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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