Organization
C&S PHARMACY
Active
Other names
La Botica Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRA PATEL PHARM D. (PRESIDENT)
(760) 899-1016
Entity
Organization
Contact information
Practice address
49281 GRAPEFRUIT BLVD, STE 2, COACHELLA, CA 92236-1487
(760) 296-3468
(760) 296-3438
Mailing address
81848 VILLA PALAZZO, INDIO, CA 92203-7715
(760) 296-3468
(760) 296-3438
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50627
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130667
PK
—
Enumeration date
06/08/2011
Last updated
09/19/2025
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