Organization
HEMET VALLEY MEDICAL CENTER
Active
Other names
HEMET VALLEY HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE KELSO (DIRECTOR OF PHARMACY)
(951) 925-6339
Entity
Organization
Contact information
Practice address
1117 E DEVONSHIRE AVE, HEMET, CA 92543-3083
(951) 652-2811
(951) 766-6471
Mailing address
1117 E DEVONSHIRE AVE, HEMET, CA 92543-3083
(951) 652-2811
(951) 766-6471
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HSP50382
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996775
PK
—
05
—
PHB326630
—
CA
Enumeration date
12/19/2005
Last updated
11/08/2013
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