| NPI | 1679026801 |
|---|---|
| Doing Business As | COACHELLA VALLEY PHARMACY, INC |
| Entity Type | Organization |
| Authorized Contact | PEACHY LUA CEO / PIC 760-223-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY54524) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2016-07-23 |
| Last Update Date | 2024-05-08 |