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Organization
SACRAMENTO COUNTY YOUTH DETENTION FACILITY PHARMACY
Active
Organization
SACRAMENTO COUNTY YOUTH DETENTION FACILITY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL VARGAS (DEPUTY DIRECTOR)
(916) 876-7179
Entity
Organization
Contact information
Practice address
9601 KIEFER BLVD, SACRAMENTO, CA 95827-3818
(916) 875-5647
Mailing address
9601 KIEFER BLVD, SACRAMENTO, CA 95827-3818
(916) 875-5647
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
—
—
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
02/21/2025
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