Organization
COMMUNITY HEALTH ENTERPRISES INC
Active
Other names
COMMUNITY CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE WALSH RPH (PHARMACY MANAGER)
(559) 459-3578
Entity
Organization
Contact information
Practice address
2210 E ILLINOIS AVE STE 101, STE 101, FRESNO, CA 93701-2184
(559) 459-6555
(559) 459-2465
Mailing address
2210 E ILLINOIS AVE, STE 101, FRESNO, CA 93701-2125
(559) 459-6555
(559) 459-2465
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY32777
CA
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1997819
PK
—
Enumeration date
06/21/2006
Last updated
11/14/2016
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