# FEDERAL CORRECTIONAL INSTITUTION TERMINAL ISLAND

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

## Provider details

- **NPI number:** 1518708742
- **Authorized official:** MRS. SYDNEY TRAN PHARM.D. (CHIEF PHARMACIST)
- **Authorized official phone:** (310) 831-8961

## Contact information

- **Practice address:** FEDERAL CORRECTIONAL INSTITUTIONAL TERMINAL ISLAND, 1299 SOUTH SEASIDE AVE, SAN PEDRO, CA 90731
- **Practice address phone:** (310) 831-8961
- **Mailing address:** FEDERAL CORRECTIONAL INSTITUTIONAL TERMINAL ISLAND, 1299 SOUTH SEASIDE AVE, SAN PEDRO, CA 90731
- **Mailing address phone:** (310) 831-8961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2400X | Prison Health Clinic/Center | — | NULL | Yes |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/03/2024
- **Last updated:** 06/03/2024
