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Organization
STATE OF CALIFORNIA
Active
Organization
STATE OF CALIFORNIA
Active
Other names
California Correctional Health Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO LOPEZ PHARM.D. (PHARMACIST II)
(559) 665-6100
Entity
Organization
Contact information
Practice address
21633 AVENUE 24, CHOWCHILLA, CA 93610-9650
(559) 665-6100
(559) 665-6586
Mailing address
21633 AVENUE 24, CHOWCHILLA, CA 93610-9650
(559) 665-6100
(559) 665-6586
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
LCF 45081
CA
311Z00000X
Custodial Care Facility
LCF 45081
CA
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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