Organization Name: | OCOTILLO PHARMACY, INC. |
NPI Number: | 1023298049 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY GELMAN (OWNER/PRESIDENT) |
Mailing Address: | 1501 Ocotillo Dr Ste B El Centro |
State: | CA US |
Postal Code: | 922434217 |
Phone Number: | 7603527100 |
Fax Number: | 7603375979 |
NPI Enumeration Date: | 11/07/2007 |
NPI Last Update Date: | 01/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 45285 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy 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 |