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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