| NPI | 1720630296 |
|---|---|
| Doing Business As | COMMUNITYCARE |
| Other Name | COMMUNITYCARE NORTH CENTRAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ASHLEE HAYS Provider Contracting Manager 512-978-9914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |