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General NPI Number Information
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NPI Number | 1700191137
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Entity Type | Organization
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Legal Business Name | CENTRAL COAST RX, INC.
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 5735 EL CAMINO REAL STE. H
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City | ATASCADERO
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State | CA
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Zip | 93422
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Country | US
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Telephone | 805-460-9600
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Fax | 805-460-9699
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Provider Business Mailing Address
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Address Line | 5735 EL CAMINO REAL STE. H
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City | ATASCADERO
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State | CA
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Zip | 93422
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Country | US
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Telephone | 805-460-9600
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Fax | 805-460-9699
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Authorized Official
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Title or Position | CEO/CFO/SEC./DIR.
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Name | ABEL AGUILAR
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Credential |
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Telephone | 805-720-8576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 50404
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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