Garfield Beach Cvs LLC
Pharmacy in Indio, CA. Organization (NPI-2).
NPI number1174785331
StatusActive
Last updated in NPPESSep 11, 2009
Details
- NPI
- 1174785331
- Entity type
- Organization (NPI-2)
- Legal business name
- Garfield Beach Cvs LLC
- Organization subpart
- No
- Enumeration date
- Jun 30, 2008
- Last updated
- Sep 11, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | CA | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | CA |
Other names
- Cvs Pharmacy # 02050 (Doing Business As)
Practice location
42150 Jackson St#a
Indio, CA 92203-9736
Phone 760-347-0326
Mailing address
1 Cvs DrBox 1075 - Pharmacy Enrollments
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Cristiana Mauricio
Mgr Phcy Enrollments
4017652937
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All 7 Pharmacy providers in Indio · All 1,988 providers in Indio
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