Corrections and Rehabilitation-Headquarters

NPI #1528694379 in Chowchilla, California

Provider Information

NPI Number
1528694379
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
21633 AVENUE 24 BLDG 1101 RM 173
ZIP Code
93610-0099
Phone
(559) 665-6100

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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