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Organization

LA QUINTA PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARSHALL HANKIN RPH (OWNER AND PHARMACIST)
(760) 777-9902
Entity
Organization

Contact information

Practice address
78150 CALLE TAMPICO, STE 103, LA QUINTA, CA 92253-2907
(760) 777-9902
(760) 777-9820
Mailing address
78150 CALLE TAMPICO, STE 103, LA QUINTA, CA 92253-2907

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
46507
CA
3336C0003X
Community/Retail Pharmacy
3336C0004X
Compounding Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5600918
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
05/24/2005
Last updated
09/11/2025
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