Organization
PUEBLO COMMUNITY HEALTH CENTER INC
Active
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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