Corrections and Rehabilitation-Headquarters
NPI #1356976179 in Blythe, California
Provider Information
- NPI Number
- 1356976179
- Entity Type
- Organization
- Organization Name
- Corrections and Rehabilitation-Headquarters
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CORRECTIONS AND REHABILITATION
- Primary Specialty
- Pharmacy
- Enumeration Date
- Mar 12, 2020
- Last Updated
- Dec 4, 2024
Practice Location
- Address
- 19005 WILEYS WELL ROAD
- City
- Blythe
- State
- California
- ZIP Code
- 92225
- Phone
- (760) 921-3000
Authorized Official
- Name
- PIERRE CAESARE SAUCIER JAMES
- Title
- STAFF SERVICES MANAGER I
- Phone
- (510) 780-6997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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