Organization
EL MIRADOR MEDICAL PLAZA PHARMACY INC
Active
Other names
RMC PHARMACY BROCKTON
Organization subpart
No
Provider details
NPI number
Authorized official
RAMESH UPADHYAYULA RPH (PRESIDENT/CEO)
(760) 323-1001
Entity
Organization
Contact information
Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 899-8199
(951) 899-8198
Mailing address
3975 JACKSON ST STE 109, RIVERSIDE, CA 92503-3946
(951) 637-0180
(951) 637-0183
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
05/12/2023
Last updated
02/13/2024
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