Organization
TRI CITY RX PHARMACY, INC.
Active
Other names
Tri City Rx Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VRUNDA K PATEL PHARM D (OWNER)
(760) 963-6199
Entity
Organization
Contact information
Practice address
15940 QUANTICO RD STE 100, APPLE VALLEY, CA 92307-1300
(760) 946-1414
Mailing address
PO BOX 3310, VICTORVILLE, CA 92393-3310
(760) 946-1414
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407401946
—
CA
Enumeration date
08/01/2019
Last updated
06/14/2022
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