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Organization
FEDERAL CORRECTIONAL INSTITUTION TERMINAL ISLAND
Active
Organization
FEDERAL CORRECTIONAL INSTITUTION TERMINAL ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYDNEY TRAN PHARM.D. (CHIEF PHARMACIST)
(310) 831-8961
Entity
Organization
Contact information
Practice address
FEDERAL CORRECTIONAL INSTITUTIONAL TERMINAL ISLAND, 1299 SOUTH SEASIDE AVE, SAN PEDRO, CA 90731
(310) 831-8961
Mailing address
FEDERAL CORRECTIONAL INSTITUTIONAL TERMINAL ISLAND, 1299 SOUTH SEASIDE AVE, SAN PEDRO, CA 90731
(310) 831-8961
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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