Provider Demographics
NPI: | 1083255129 |
---|---|
Name: | DESERT BEST PHARMACY, INC. |
Entity Type: | Organization |
Organization Name: | DESERT BEST PHARMACY, INC. |
Other - Org Name: | THE MEDICINE SHOPPE |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | CFO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ISSAC |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | RABADI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 760-318-6361 |
Mailing Address - Street 1: | 170 E TAHQUITZ CANYON WAY |
Mailing Address - Street 2: | |
Mailing Address - City: | PALM SPRINGS |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 92262-6431 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 760-778-8870 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 170 E TAHQUITZ CANYON WAY |
Practice Address - Street 2: | |
Practice Address - City: | PALM SPRINGS |
Practice Address - State: | CA |
Practice Address - Zip Code: | 92262-6431 |
Practice Address - Country: | US |
Practice Address - Phone: | 760-318-6361 |
Practice Address - Fax: | 760-318-6364 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2019-09-30 |
Last Update Date: | 2024-01-31 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 3336C0003X | Suppliers | Pharmacy | Community/Retail Pharmacy |
No | 3336L0003X | Suppliers | Pharmacy | Long Term Care Pharmacy |