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Organization

DIVYA RX SERVICES

Active
Other names
HERITAGE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
CHANDRA PATEL PHARM D. (PHARMACIST IN CHARGE)
(760) 416-7999
Entity
Organization

Contact information

Practice address
275 N EL CIELO RD, D405, PALM SPRINGS, CA 92262-6972
(760) 416-7999
(760) 416-7688
Mailing address
275 N EL CIELO RD, D405, PALM SPRINGS, CA 92262-6972
(760) 416-7999
(760) 416-7688

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY55428
CA
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1996630
PK
05
PHA443070
CA
Enumeration date
11/08/2006
Last updated
03/27/2017
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