Outreach Community Care Network INC
NPI #1043776057 in Daytona Beach, Florida
Provider Information
- NPI Number
- 1043776057
- Entity Type
- Organization
- Organization Name
- Outreach Community Care Network INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OUTREACH COMMUNITY CARE NETWORK
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 14, 2019
- Last Updated
- Feb 14, 2019
Practice Location
- Address
- 240 N. FREDERICK AVENUE
- City
- Daytona Beach
- State
- Florida
- ZIP Code
- 32114
- Phone
- (386) 675-0118
Authorized Official
- Name
- DR. CHESTER WILSON JR.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (386) 675-0098
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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