Corrections and Rehabilitation-Headquarters
NPI #1821621764 in Represa, California
Provider Information
- NPI Number
- 1821621764
- Entity Type
- Organization
- Organization Name
- Corrections and Rehabilitation-Headquarters
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CORRECTIONS & REHABILITATION
- Primary Specialty
- Pharmacy
- Enumeration Date
- Feb 19, 2020
- Last Updated
- Dec 4, 2024
Practice Location
- Address
- 300 PRISON ROAD
- City
- Represa
- State
- California
- ZIP Code
- 95671-4071
- Phone
- (916) 985-2561
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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