Organization
EL MIRADOR MEDICAL PLAZA PHARMACY INC
Active
Other names
DESERT HOSPITAL OUTPATIENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAMESH UPADHYAYULA (PRESIDENT)
(760) 323-1001
Entity
Organization
Contact information
Practice address
1180 N INDIAN CANYON DR STE E140, SUITE E140, PALM SPRINGS, CA 92262-4883
(760) 323-1001
(760) 323-1144
Mailing address
1180 N INDIAN CANYON DR STE E140, SUITE E140, PALM SPRINGS, CA 92262-4883
(760) 323-1001
(760) 323-1144
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY46465
CA
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2067078
PK
—
05
—
PHA464650
—
CA
Enumeration date
08/31/2006
Last updated
09/19/2025
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