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Contact Information

PARKVIEW MEDICAL PLAZA PHARMACY INC
3975 JACKSON ST
STE 109
RIVERSIDE, CA92503-3901
 Phone: 951-637-0180
 Fax: 951-637-0183
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PARKVIEW MEDICAL PLAZA PHARMACY INC

NPI # 1346352267
LBN Legal business name PARKVIEW MEDICAL PLAZA PHARMACY INC
Authorized official RAMESH UPADHYAYULA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 01/18/2017 - About 9 years ago
Identifiers
CA License # PHY43137
CA Medicaid PHA431370
Other 2002122 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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