Irvine Sand Canyon Pharmacy Inc in Palm Desert - Compounding Pharmacy
Irvine Sand Canyon Pharmacy Inc - NPI 1609904119
Irvine Sand Canyon Pharmacy Inc is a Compounding Pharmacy in Palm Desert, California. Irvine Sand Canyon Pharmacy Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Irvine Sand Canyon Pharmacy Inc is 1609904119. The last update date is 2020-08-22.
Irvine Sand Canyon Pharmacy Inc's current location address is 72624 El Paseo, Palm Desert, California. You can contact this provider via phone number 7603413984 and fax number 7603414954. The mailing address for Irvine Sand Canyon Pharmacy Inc is 72624 El Paseo, Palm Desert, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Irvine Sand Canyon Pharmacy Inc |
|---|---|
| Address | 72624 El Paseo, Palm Desert, California |
| Phone Number | 7603413984 |
| Fax Number | 7603414954 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Farina Mort |
| Credentials | R.PH. |
| Telephone Number | 3108802537 |
NPI Number Detail
| NPI Number | 1609904119 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 72624 El Paseo |
|---|---|
| City | Palm Desert |
| State | California (CA) |
| Post Code | 922603309 |
| Phone Number | 7603413984 |
| Fax Number | 7603414954 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | 99148 |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 44047 | CA | PHARMACY LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Irvine Sand Canyon Pharmacy Inc by the Centers for Medicare & Medicaid Services?
The Irvine Sand Canyon Pharmacy Inc has been issued the NPI (National Provider Identifier) 1609904119, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Irvine Sand Canyon Pharmacy Inc?
The Irvine Sand Canyon Pharmacy Inc is situated at 72624 El Paseo, in the city of Palm Desert, state of CA, with the zip code 922603309.
What is Irvine Sand Canyon Pharmacy Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Irvine Sand Canyon Pharmacy Inc is Compounding Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0004X.
On what date was the 1609904119 assigned to Irvine Sand Canyon Pharmacy Inc?
The Irvine Sand Canyon Pharmacy Inc was issued its 1609904119 on 2007-02-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Irvine Sand Canyon Pharmacy Inc most recently updated or revised?
The information pertaining to Irvine Sand Canyon Pharmacy Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA