# CENTRAL COAST HOME HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pharma 101
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376998401
- **Authorized official:** MR. BRIAN PRITT (PRESIDENT)
- **Authorized official phone:** (805) 543-2244

## Contact information

- **Practice address:** 243 GRANADA DR STE A, SUITE A, SAN LUIS OBISPO, CA 93401-7336
- **Practice address phone:** (805) 540-2780
- **Practice address fax:** (805) 540-2158
- **Mailing address:** 253 GRANADA DR, SUITE D, SAN LUIS OBISPO, CA 93401-7340
- **Mailing address phone:** (805) 540-2780
- **Mailing address fax:** (805) 540-2158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 54252 | CA | Yes |

## Other

- **Enumeration date:** 04/26/2016
- **Last updated:** 11/02/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2159768 | PK | — |