Healthcare Provider Details

I. General information

NPI: 1639083652
Provider Name (Legal Business Name): JOYCEL ROSE M VINDUA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOYCEL ROSE MANALO VINDUA RPH

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35929 RANDALL LN
PALM DESERT CA
92211-0899
US

IV. Provider business mailing address

35929 RANDALL LN
PALM DESERT CA
92211-0899
US

V. Phone/Fax

Practice location:
  • Phone: 701-770-3337
  • Fax:
Mailing address:
  • Phone: 701-770-3337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number93194
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: