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Contact Information

RANCHO MIRAGE PHARMACY, INC.
72-780 COUNTRY CLUB DR.
BLD D-400
RANCHO MIRAGE, CA92270
 Phone: 760-340-1130
 Fax: 760-340-1150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for RANCHO MIRAGE PHARMACY, INC.

NPI Number 1962739425
LBN Legal business name RANCHO MIRAGE PHARMACY, INC.
Authorized official JUDE HSIEH - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2009
Last updated 11/04/2009 - About 17 years ago
Identifiers
CA License # PHY49844
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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