Organization
DESERTRX PHARMACY
Active
Other names
DesertRx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA CASELLA (OWNER)
(561) 223-8611
Entity
Organization
Contact information
Practice address
73091 COUNTRY CLUB DR STE A4, PALM DESERT, CA 92260-2338
(760) 836-3738
(760) 836-3739
Mailing address
73091 COUNTRY CLUB DR STE A4, PALM DESERT, CA 92260-2338
(760) 836-3738
(760) 836-3739
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY51719
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144248
PK
—
Enumeration date
05/21/2012
Last updated
01/04/2019
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