Organization
COMMUNITY MEDICAL CENTERS INC
Active
Other names
COMMUNITY MEDICAL CENTERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE NOGUERA PHARM D. (CEO)
(209) 373-2826
Entity
Organization
Contact information
Practice address
701 E CHANNEL ST, STOCKTON, CA 95202-2628
(209) 944-4730
(209) 944-4737
Mailing address
PO BOX 779, STOCKTON, CA 95201-0779
(209) 944-4730
(209) 944-4737
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHY46591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112618
PK
—
05
—
PHA214670
—
CA
Enumeration date
04/11/2007
Last updated
12/01/2016
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