Corrections and Rehabilitation-Headquarters

NPI #1912532748 in Wasco, California

Provider Information

NPI Number
1912532748
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
701 SCOFIELD AVENUE
City
Wasco
ZIP Code
93280-8800
Phone
(661) 758-8400

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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