Organization
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC
Active
Other names
Community Health Centers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A ALLEN (BUSINESS OFFICE MANAGER)
(805) 361-8014
Entity
Organization
Contact information
Practice address
150 TEJAS PL, NIPOMO, CA 93444-9123
(805) 270-1807
(805) 270-1820
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8014
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
PHY46798
CA
261QC1500X
Community Health Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5613624
NCPDP NUMBER
CA
05
—
PHA46798
—
CA
01
—
PHY46798
STATE RX LICENSE NUMBER
CA
Enumeration date
10/19/2005
Last updated
03/07/2023
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