Coachella Valley Pharmacy, Inc is an authorized DME supplier for medicare equipments and products.
Coachella Valley Pharmacy, Inc is a Community/Retail Pharmacy in Palm Desert, California. It is located at 77932 Country Club Dr, Ste #2-2, Palm Desert and it's customer support contact number is 760-223-7188. The authorized person of Coachella Valley Pharmacy, Inc is Peachy Lua who is Ceo / Pic of the pharmacy and his contact number is 760-223-7188. Active license number of Coachella Valley Pharmacy, Inc is PHY54524 for Community/Retail Pharmacy in California. Coachella Valley Pharmacy, Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Coachella Valley Pharmacy, Inc is 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.
Pharmacy Details:
Coachella Valley Pharmacy, Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Coachella Valley Pharmacy, Inc
Type:
Community/Retail Pharmacy
Location:
77932 Country Club Dr, Ste #2-2, Palm Desert, California, 92211-3407
Phone:
760-223-7188
Fax:
760-223-7187
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Peachy Lua
Position:
Ceo / Pic
Contact Number:
760-223-7188
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1679026801
NPI Enumeration Date:
23 Jul, 2016
NPI Last Update On:
19 Sep, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Coachella Valley Pharmacy, Inc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PHY54524
California
Primary
Pharmacy
Secondary
Long Term Care Pharmacy
Secondary
Specialty Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2162354
Other
Pk
Medicare Enrollment:
Coachella Valley Pharmacy, Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
3870861917
O20170614001811
Coachella Valley Pharmacy Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
77932 Country Club Dr, Ste #2-2 Palm Desert, California
Zip:
92211-3407
Phone Number:
760-223-7188
Fax Number:
760-223-7187
Patients can reach Coachella Valley Pharmacy, Inc at 77932 Country Club Dr, Ste #2-2, Palm Desert, California or can call on customer care at 760-223-7188.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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