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Ocotillo Pharmacy, Inc.
Prosthetic/Orthotic Supplier in El Centro, California
NPI 1023298049

Ocotillo Pharmacy, Inc. is a Prosthetic/Orthotic Supplier based in El Centro, CA. Ocotillo Pharmacy, Inc. practices in El Centro, CA. The NPI Number for Ocotillo Pharmacy, Inc. is 1023298049 and holds a License No. 45285 (California).

The current practice location address for Ocotillo Pharmacy, Inc. is 1501 Ocotillo Dr Ste B, El Centro, CA and can be reached out via phone at 760-352-7100 and via fax at 760-337-5979.

Location: 1501 Ocotillo Dr Ste B, El Centro, CA, 92244-2100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023298049
Provider Name
Ocotillo Pharmacy, Inc.
Credential
Provider Entity Type
Organization
Address
1501 Ocotillo Dr Ste B, El Centro, CA, 92244-2100
Phone Number
760-352-7100
Fax Number
760-337-5979
Provider Enumeration Date
11/07/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45285 01 CA HMDR
0447810001 01 CA MEDICARE
institution
Provider Business Practice Location Address Details
Address
1501 Ocotillo Dr Ste B
City
El Centro
State
California
Zip
92243-4217
Phone Number
760-352-7100
Fax Number
760-337-5979
person
Provider Business Mailing Address Details
Address
1501 Ocotillo Dr Ste B
City
El Centro
State
California
Zip
92243-4217
Phone Number
760-352-7100
Fax Number
760-337-5979
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
45285 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
45285 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
45285 (California)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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