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Eisenhower Medical Center
Compounding Pharmacy in Rancho Mirage, California
NPI 1699811190

Eisenhower Medical Center is a Compounding Pharmacy based in Rancho Mirage, CA and is specialized in Compounding Pharmacy. Eisenhower Medical Center practices in Rancho Mirage, CA. The NPI Number for Eisenhower Medical Center is 1699811190 and holds a License No. (California).

The current practice location address for Eisenhower Medical Center is 39000 Bob Hope Dr, Rancho Mirage, CA and can be reached out via phone at 760-773-1219 and via fax at 760-773-1244.

Location: 39000 Bob Hope Dr, Rancho Mirage, CA, 92270-3221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699811190
Provider Name
Eisenhower Medical Center
Credential
Provider Entity Type
Organization
Address
39000 Bob Hope Dr, Rancho Mirage, CA, 92270-3221
Phone Number
760-773-1219
Fax Number
760-773-1244
Provider Enumeration Date
01/30/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0567771 01 NCPDP PROVIDER IDENTIFICATION NUMBER
PHY355120 05 CA
institution
Provider Business Practice Location Address Details
Address
39000 Bob Hope Dr
City
Rancho Mirage
State
California
Zip
92270-3221
Phone Number
760-773-1219
Fax Number
760-773-1244
person
Provider Business Mailing Address Details
Address
39000 Bob Hope Dr
City
Rancho Mirage
State
California
Zip
92270-3221
Phone Number
760-773-1219
Fax Number
760-773-1244
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHY35512 (California)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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