NPI | 1255598876 |
---|---|
Doing Business As | COMMUNITYCARE CENTRAL PHARMACY |
Entity Type | Organization |
Authorized Contact | CAROLYN KONECNY Interim CEO/President & CFO 512-978-9038 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 26469) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2008-05-21 |
Last Update Date | 2017-02-22 |