Organization
EL MIRADOR MEDICAL PLAZA PHARMACY INC
Active
Parent organization
EL MIRADOR MEDICAL PLAZA PHARMACY INC.
Other names
Desert Hospital Outpatient Ambulatory Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
EL MIRADOR MEDICAL PLAZA PHARMACY INC.
Authorized official
MR. RAMESH UPADHYAYULA RPH (PRESIDENT/CEO)
(760) 323-1001
Entity
Organization
Contact information
Practice address
1180 N INDIAN CANYON DR STE E140, PALM SPRINGS, CA 92262-4883
(760) 323-1001
(760) 323-1144
Mailing address
1180 N INDIAN CANYON DR STE E140, PALM SPRINGS, CA 92262-4883
(760) 323-1001
(760) 323-1144
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861504854
—
CA
Enumeration date
04/28/2021
Last updated
04/28/2021
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