Preston Youth Correctional Facility
NPI #1033263488 in Ione, California
Provider Information
- NPI Number
- 1033263488
- Entity Type
- Organization
- Organization Name
- Preston Youth Correctional Facility
- Primary Specialty
- Pharmacy - Institutional Pharmacy
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Sep 12, 2007
Practice Location
- Address
- 201 WATERMAN RD
- City
- Ione
- State
- California
- ZIP Code
- 95640-9701
- Phone
- (209) 274-8275
Authorized Official
- Name
- KENNETH ERLEBUSCH, RPH
- Title
- PHRM
- Phone
- (209) 274-8275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Institutional Pharmacy — Institutional Pharmacy |
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