Provider Demographics
NPI:1558984666
Name:HEMET INFUSION & SPECIALTY PHARMACY INC
Entity Type:Organization
Organization Name:HEMET INFUSION & SPECIALTY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:UPADHYAYULA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, APH
Authorized Official - Phone:951-305-5500
Mailing Address - Street 1:422 N SAN JACINTO ST
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-3124
Mailing Address - Country:US
Mailing Address - Phone:951-305-5500
Mailing Address - Fax:951-305-5505
Practice Address - Street 1:422 N SAN JACINTO ST
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-3124
Practice Address - Country:US
Practice Address - Phone:951-305-5500
Practice Address - Fax:951-305-5505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-22
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy