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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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