Organization
COMMUNITY PRESCRIPTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN PATTISON RPH (PRESIDENT)
(619) 295-6688
Entity
Organization
Contact information
Practice address
67802 E PALM CANYON DR, CATHEDRAL CITY, CA 92234-5457
(760) 770-4746
(760) 770-5038
Mailing address
67802 E PALM CANYON DR, CATHEDRAL CITY, CA 92234-5457
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY47389
CA
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5617331
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA473890
—
CA
Enumeration date
07/22/2006
Last updated
09/11/2025
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