Organization
CAREMORE HEALTH PLAN
Active
Other names
CareMore Modesto
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ROSE (DIRECTOR OF PHARMACY)
(562) 862-3684
Entity
Organization
Contact information
Practice address
1234 MCHENRY AVE, MODESTO, CA 95350-5373
(209) 544-2554
Mailing address
1234 MCHENRY AVE, MODESTO, CA 95350-5373
(209) 544-2554
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A76149
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155519
PK
—
Enumeration date
11/12/2015
Last updated
12/07/2015
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