Organization
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC
Active
Other names
CHC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO FLORES (CEO)
(319) 753-2300
Entity
Organization
Contact information
Practice address
1706 W AGENCY RD, WEST BURLINGTON, IA 52655-1667
(319) 768-5848
(319) 208-8084
Mailing address
1706 W AGENCY RD, WEST BURLINGTON, IA 52655-1667
(319) 768-5848
(319) 208-8084
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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