Organization
PALM DESERT PHARMACY INC
Active
Other names
PALM DESERT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMIN MOLAI (PRESIDENT/ PHARMACIST IN CHARGE)
(760) 636-5587
Entity
Organization
Contact information
Practice address
73261 HIGHWAY 111, SUITE 101, PALM DESERT, CA 92260-3928
(760) 636-5587
(760) 636-5591
Mailing address
73261 HIGHWAY 111, SUITE 101, PALM DESERT, CA 92260-3928
(760) 636-5587
(760) 636-5591
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY54328
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56-58806
NCPDP NUMBER
CA
01
—
PHY 54328
CALIFORNIA STATE BOARD OF PHARMACY PERMIT
CA
Enumeration date
02/08/2016
Last updated
06/13/2016
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