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Organization
COUNTY OF LOS ANGELES
Active
Organization
COUNTY OF LOS ANGELES
Active
Other names
CHS - Men's Central Jail Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN HENDERSON MD (CHIEF MEDICAL OFFICER)
(213) 893-5566
Entity
Organization
Contact information
Practice address
441 BAUCHET ST, ROOM 6118, LOS ANGELES, CA 90012-2906
(213) 893-5566
(213) 893-5494
Mailing address
1000 S. FREMONT. AVE., UNIT #9, BLDG A11, GROUND FL, SUITE A11010, ALHAMBRA, CA 91803-8801
(626) 525-6076
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH 45961
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0513831
NCPDP NUMBER
CA
Enumeration date
05/03/2007
Last updated
10/03/2023
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