Organization
COMMUNITY CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A. HAGOPIAN PHARDD. (PHARMACIST)
(559) 459-6245
Entity
Organization
Contact information
Practice address
2210 E ILLINOIS AVE, SUITE 101, FRESNO, CA 93701-2184
(559) 459-6245
(559) 459-3926
Mailing address
2210 E ILLINOIS AVE., SUITE 101, FRESNO, CA 93701-2184
(559) 459-6245
(559) 459-3926
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY32777
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0587595
NABP
—
Enumeration date
12/21/2006
Last updated
10/07/2010
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