Provider Demographics
NPI:1821324229
Name:CHRONIC CARE MEDICINALS LLC
Entity Type:Organization
Organization Name:CHRONIC CARE MEDICINALS LLC
Other - Org Name:CHRONIC CARE MEDS OF SANTA BARBARA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF ORGANIZER
Authorized Official - Prefix:MS
Authorized Official - First Name:DELIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-232-6866
Mailing Address - Street 1:3463 STATE ST # 175
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2662
Mailing Address - Country:US
Mailing Address - Phone:702-232-6866
Mailing Address - Fax:
Practice Address - Street 1:3463 STATE ST # 175
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-2662
Practice Address - Country:US
Practice Address - Phone:702-232-6866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site