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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
78150 CALLE TAMPICO STE 103 LA QUINTA, CA 92253 US
Tel: 760-777-9902 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 3336C0003X | Suppliers Pharmacy Community/Retail Pharmacy | ||
X | 333600000X | Suppliers Pharmacy | CA | 46507 |
X | 3336C0004X | Suppliers Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 5600918 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin