Organization
CLINIC PHARMACIES III LLC
Active
Parent organization
CLINIC PHARMACIES III LLC
Other names
Camarena Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINIC PHARMACIES III LLC
Authorized official
MICHAEL D BROWN (VICE PRESIDENT, MANAGED SERVICES)
(281) 749-4764
Entity
Organization
Contact information
Practice address
344 E 6TH ST STE 101, MADERA, CA 93638-3631
(559) 479-4580
(559) 479-4582
Mailing address
ATTN: CHC RETAIL PHARMACY DEPT. 13651 DUBLIN CT, STAFFORD, TX 77477
(281) 749-4000
(614) 652-0326
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
53345
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153027
PK
—
Enumeration date
06/18/2015
Last updated
09/06/2022
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