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Organization
CENTRAL COAST HOME HEALTH, INC.
Active
Organization
CENTRAL COAST HOME HEALTH, INC.
Active
Other names
Pharma 101
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN PRITT (PRESIDENT)
(805) 543-2244
Entity
Organization
Contact information
Practice address
243 GRANADA DR STE A, SUITE A, SAN LUIS OBISPO, CA 93401-7336
(805) 540-2780
(805) 540-2158
Mailing address
253 GRANADA DR, SUITE D, SAN LUIS OBISPO, CA 93401-7340
(805) 540-2780
(805) 540-2158
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
54252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159768
PK
—
Enumeration date
04/26/2016
Last updated
11/02/2020
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