Organization
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Active
Organization
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Active
Other names
CommunityCare Central Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN KONECNY PHARMD (INTERIM CEO/PRESIDENT & CFO)
(512) 978-9038
Entity
Organization
Contact information
Practice address
2901 MONTOPOLIS DR, AUSTIN, TX 78741-6411
(512) 978-9011
(512) 901-9749
Mailing address
PO BOX 17366, AUSTIN, TX 78760-7366
(512) 978-9009
(512) 901-9713
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26469
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117603
PK
—
Enumeration date
05/21/2008
Last updated
02/22/2017
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