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LA QUINTA PHARMACY

Medical Equipment Supplier Yellow Pages

La Quinta, California

Provider NPI: 1083617740

Organization Information:
Organization Name:  LA QUINTA PHARMACY


Practice Location:
78150 CALLE TAMPICO STE 103 LA QUINTA, CA 92253 US
Tel: 760-777-9902  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X3336C0003XSuppliers
Pharmacy
Community/Retail Pharmacy
X333600000XSuppliers
Pharmacy
CA46507
X3336C0004XSuppliers
Pharmacy

Other Provider Identifiers:

IssuerNumberStateType
OTHER ID NUMBER-COMMERCIAL NUMBER560091801
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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