Healthcare Provider Details

I. General information

NPI: 1700981065
Provider Name (Legal Business Name): COMMUNITY PRESCRIPTION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 S SUNRISE WAY STE 112
PALM SPRINGS CA
92264-7885
US

IV. Provider business mailing address

640 UNIVERSITY AVE COMMUNITY PRESCRIPTION CTR INC
SAN DIEGO CA
92103
US

V. Phone/Fax

Practice location:
  • Phone: 760-323-1973
  • Fax: 760-320-5236
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHY45070
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ROBIN WILLIAMSON
Title or Position: VP
Credential:
Phone: 619-255-6587