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Organization

COMMUNITY MEDICAL ARTS PHARMACY, INC

Active
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Organization

COMMUNITY MEDICAL ARTS PHARMACY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ELMER G KOCH PHARMACIST (PRESIDENT/CHIEF PHARMACY)
(559) 485-2323
Entity
Organization

Contact information

Practice address
2041 DIVISADERO ST, FRESNO, CA 93701-2013
(559) 485-2323
(559) 485-8554
Mailing address
2041 DIVISADERO ST, FRESNO, CA 93701-2013
(559) 485-2323
(559) 485-8554

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA182880
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PHA182880
CA
Enumeration date
05/27/2005
Last updated
08/22/2020
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