| NPI | 1063448280 |
|---|---|
| Doing Business As | PARKE VISTA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SIRISHA PALAVALLI Manager Member 951-687-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 55696) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-03-11 |