Clara Chia

Individual provider Active NPI Pharmacist · Desert Hot Springs, CA

NPI 1144644196 · NPPES record last updated Feb 11, 2014

Key facts

NPI
1144644196
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
69836 (CA)
Practice address
14001 Palm Dr
Desert Hot Springs, CA 92240-6845
Phone
(760) 288-3210
Fax
(760) 329-6550
NPI assigned
Feb 11, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
69836CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 69836 CA Yes

Addresses

Primary practice location

14001 Palm Dr
Desert Hot Springs, CA 92240-6845

Mailing address

43100 Palm Royale Dr
Apt 1123
La Quinta, CA 92253-7991

Other providers in Desert Hot Springs, CA

All providers in Desert Hot Springs, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.