Community Pharmacy
NPI #1205948916 in Imperial, California
Provider Information
- NPI Number
- 1205948916
- Entity Type
- Organization
- Organization Name
- Community Pharmacy
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 117 N IMPERIAL AVE
- City
- Imperial
- State
- California
- ZIP Code
- 92251-1262
- Phone
- (760) 355-2863
Authorized Official
- Name
- NOEL CARRICO
- Title
- OWNER PHARMACIST
- Phone
- (760) 355-2863
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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