Provider Demographics
NPI:1225374564
Name:JURUPA VALLEY PHARMACY INC.
Entity Type:Organization
Organization Name:JURUPA VALLEY PHARMACY INC.
Other - Org Name:JURUPA VALLEY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANTOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-332-2235
Mailing Address - Street 1:7830 LIMONITE AVE
Mailing Address - Street 2:
Mailing Address - City:JURUPA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92509-5360
Mailing Address - Country:US
Mailing Address - Phone:951-332-2235
Mailing Address - Fax:951-332-2236
Practice Address - Street 1:7830 LIMONITE AVE
Practice Address - Street 2:
Practice Address - City:JURUPA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92509-5360
Practice Address - Country:US
Practice Address - Phone:951-332-2235
Practice Address - Fax:951-332-2236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-13
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy