Coachella Valley Pharmacy, Inc
Community/Retail Pharmacy
77932 Country Club Dr, Ste #2-2, Palm Desert
California, 92211-3407
760-223-7188 760-223-7187
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.