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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