# FEDERAL CORRECTIONAL INSTITUTION SHERIDAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093176976
- **Authorized official:** MR. JIM W. MANNING RPH (CHIEF PHARMACIST)
- **Authorized official phone:** (503) 843-6446

## Contact information

- **Practice address:** 27072 SW BALLSTON RD, SHERIDAN, OR 97378-9620
- **Practice address phone:** (503) 843-6446
- **Practice address fax:** (503) 843-6657
- **Mailing address:** 27072 SW BALLSTON RD, SHERIDAN, OR 97378-9620
- **Mailing address phone:** (503) 843-6446
- **Mailing address fax:** (503) 843-6657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/18/2016
- **Last updated:** 03/18/2016