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General NPI Number Information
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NPI Number | 1538497235
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTHCARE SERVICES, INC.
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 07/10/2015
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Provider Practice Location Address
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Address Line | 24747 REDLANDS BLVD SUITE D
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City | LOMA LINDA
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State | CA
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Zip | 92354-4026
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Country | US
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Telephone | 877-616-6247
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Fax | 909-796-2830
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Provider Business Mailing Address
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Address Line | 24747 REDLANDS BLVD SUITE D
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City | LOMA LINDA
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State | CA
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Zip | 92354-4026
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Country | US
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Telephone | 877-616-6247
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Fax | 909-796-2830
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | ALLEN SCORSATTO
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Credential | RPH
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Telephone | 877-616-6247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0003X
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Taxonomy Name | Managed Care Organization Pharmacy
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License Number | PHY50129
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | PHY50129
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | PHY50129
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY50129
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PHY50129
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License Number State | CA
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