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Organization
COMMUNITY MEMORIAL HOSPITAL
Active
Organization
COMMUNITY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE GLYER (CFO)
(805) 652-5003
Entity
Organization
Contact information
Practice address
852 W VENTURA ST, FILLMORE, CA 93015-1837
(805) 524-9461
(805) 524-9451
Mailing address
852 W VENTURA ST, FILLMORE, CA 93015-1837
(805) 524-9461
(805) 524-9451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA 438010
—
CA
Enumeration date
10/05/2006
Last updated
08/22/2020
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