James River Correctional Center Pharmacy

NPI #1811014160 in Jamestown, North Dakota

Provider Information

NPI Number
1811014160
Entity Type
Organization
Organization Name
James River Correctional Center Pharmacy
Primary Specialty
Rehabilitation Unit
Enumeration Date
Mar 23, 2007
Last Updated
Jun 26, 2008

Practice Location

Address
2521 CIRCLE DR
ZIP Code
58401-6904
Phone
(701) 253-3612

Authorized Official

Name
MR. KENNETH P JOHNSON, R. PH.
Title
PHARMACIST II
Phone
(701) 253-3612

Specialties & Taxonomy Codes

Specialty
Rehabilitation Unit

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