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Organization

COACHELLA VALLEY PHARMACY INC

Active
Other names
Coachella Valley LTC
Organization subpart
No

Provider details

NPI number
Authorized official
PEACHY U LUA (OWNER)
(760) 399-2828
Entity
Organization

Contact information

Practice address
35900 BOB HOPE DR STE 105, RANCHO MIRAGE, CA 92270-1765
(760) 565-0629
Mailing address
35900 BOB HOPE DR STE 105, RANCHO MIRAGE, CA 92270-1765
(760) 565-0629

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
10/08/2018
Last updated
01/05/2022
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