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Organization

CENTRAL COAST HOME HEALTH, INC.

Active
Other names
Pharma 101
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN PRITT (PRESIDENT)
(805) 543-2244
Entity
Organization

Contact information

Practice address
243 GRANADA DR STE A, SUITE A, SAN LUIS OBISPO, CA 93401-7336
(805) 540-2780
(805) 540-2158
Mailing address
253 GRANADA DR, SUITE D, SAN LUIS OBISPO, CA 93401-7340
(805) 540-2780
(805) 540-2158

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
54252
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2159768
PK
Enumeration date
04/26/2016
Last updated
11/02/2020
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