Organization
COMMUNITY HEALTH CENTERS OF AMERICA
Active
Organization
COMMUNITY HEALTH CENTERS OF AMERICA
Active
Other names
COMMUNITY HEALTH CENTERS OF AMERICA
Organization subpart
No
Provider details
NPI number
Authorized official
PRATAP K ANNE (PHARMACY DIRECTOR)
(209) 298-1715
Entity
Organization
Contact information
Practice address
517 MAIN ST STE B, LIVINGSTON, CA 95334-1427
(209) 340-7929
(209) 348-6525
Mailing address
517 MAIN ST STE B, LIVINGSTON, CA 95334-1427
(209) 298-1715
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57564
PHARMACY LICENSE
CA
Enumeration date
12/27/2019
Last updated
03/07/2023
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