Pueblo Community Health Center INC
Pharmacy, Community/Retail Pharmacy in Pueblo, CO. Organization (NPI-2).
NPI number1790730737
StatusActive
Last updated in NPPESJan 14, 2022
Details
- NPI
- 1790730737
- Entity type
- Organization (NPI-2)
- Legal business name
- Pueblo Community Health Center INC
- Organization subpart
- No
- Enumeration date
- May 24, 2006
- Certification date
- Jan 12, 2022
- Last updated
- Jan 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 650 | CO | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Pueblo Community Health Center Park Hill (Doing Business As)
Practice location
1301 E 7th StPueblo, CO 81001
Phone 719-476-0220 · Fax 719-545-5587
Mailing address
1302 E 5th StPueblo, CO 81001-3754
Phone 719-476-0220 · Fax 719-545-5587
Authorized official
Justin McCarthy
Coo
7195438718
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All 22 Community/Retail Pharmacy providers in Pueblo · All 5,060 providers in Pueblo
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