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Contact Information

CENTRAL COAST RX, INC.
5735 EL CAMINO REAL
STE. H
ATASCADERO, CA93422
 Phone: 805-460-9600
 Fax: 805-460-9699
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CENTRAL COAST RX, INC.

NPI # 1700191137
LBN Legal business name CENTRAL COAST RX, INC.
Authorized official ABEL AGUILAR - (CEO/CFO/SEC./DIR.)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2010
Last updated 01/02/2026 - About 5 months ago
Identifiers
CA License # 50404
CA Medicaid 170019137
Other 2127100 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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