Organization
PUEBLO COMMUNITY HEALTH CENTER INC
Active
Other names
PUEBLO COMMUNITY HEALTH CENTER PARK HILL
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN MCCARTHY (COO)
(719) 543-8718
Entity
Organization
Contact information
Practice address
1301 E 7TH ST, PUEBLO, CO 81001
(719) 476-0220
(719) 545-5587
Mailing address
1302 E 5TH ST, PUEBLO, CO 81001-3754
(719) 476-0220
(719) 545-5587
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
650
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003867
PK
—
05
—
88408884
—
CO
Enumeration date
05/24/2006
Last updated
01/14/2022
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