Provider Demographics
NPI:1962045872
Name:CLINICAS DE SALUD DEL PUEBLO INC.
Entity Type:Organization
Organization Name:CLINICAS DE SALUD DEL PUEBLO INC.
Other - Org Name:INNERCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-344-9951
Mailing Address - Street 1:852 E. DANENBERG DR.
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-9490
Mailing Address - Country:US
Mailing Address - Phone:760-460-4255
Mailing Address - Fax:760-332-3380
Practice Address - Street 1:852 E. DANENBERG DR.
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-9490
Practice Address - Country:US
Practice Address - Phone:760-460-4255
Practice Address - Fax:760-332-3380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-23
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy