Organization
CLINICAS DE SALUD DEL PUEBLO, INC
Active
Other names
Innercare Pharmacy - Brawley, Clinica Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER G IRVING RPH (PHARMACY DIRECTOR)
(760) 344-6471
Entity
Organization
Contact information
Practice address
900 MAIN ST, BRAWLEY, CA 92227
(760) 344-6471
(760) 344-8509
Mailing address
900 MAIN ST, BRAWLEY, CA 92227
(760) 344-6471
(760) 344-8509
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY44279
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0572215
NCPDP
—
Enumeration date
08/09/2006
Last updated
02/18/2022
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