# COUNTY OF SACRAMENTO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RIO COSUMNES CORRECTIONAL CENTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407613326
- **Authorized official:** NOEL VARGAS (DEPUTY DIRECTOR)
- **Authorized official phone:** (916) 876-7179

## Contact information

- **Practice address:** 12500 BRUCEVILLE RD, ELK GROVE, CA 95757-9784
- **Practice address phone:** (916) 874-1848
- **Mailing address:** 711 G ST FL 4, SACRAMENTO, CA 95814-1212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2400X | Prison Health Clinic/Center | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2024
- **Last updated:** 02/21/2025