California Substance Abuse Treatment Facility-State Prison

NPI #1568004174 in Corcoran, California

Provider Information

NPI Number
1568004174
Entity Type
Organization
Organization Name
California Substance Abuse Treatment Facility-State Prison
Primary Specialty
Pharmacy
Enumeration Date
Oct 15, 2019
Last Updated
Oct 15, 2019

Practice Location

Address
900 QUEBEC AVE
ZIP Code
93212-9715
Phone
(559) 992-7100

Authorized Official

Name
DR. NORMAN KARL ROSENBLATT, PHARM.D.
Title
PHARMACIST IN CHARGE
Phone
(559) 992-7100

Specialties & Taxonomy Codes

Specialty
Pharmacy

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