Organization
DESERT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL TEAGUE PHARM.D. (CEO/PRESIDENT)
(760) 997-7800
Entity
Organization
Contact information
Practice address
1560 S IMPERIAL AVE, EL CENTRO, CA 92243-4241
(760) 997-7800
(760) 997-7801
Mailing address
1560 S IMPERIAL AVE, EL CENTRO, CA 92243-4241
(760) 997-7800
(760) 997-7801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
55856
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5665027
NABP
CA
01
—
57741
PHARMACY LICENSE CALIFORNIA BOARD OF PHARMACY
CA
05
—
PHY2154641
—
CA
Enumeration date
12/04/2017
Last updated
01/31/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us