| NPI | 1649957374 |
|---|---|
| Doing Business As | HIGH DESERT PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KELLY PHAM CEO 661-200-0562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2023-07-04 |
| Last Update Date | 2023-12-11 |