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Organization
FEDERAL CORRECTIONAL COMPLEX VICTORVILLE
Active
Organization
FEDERAL CORRECTIONAL COMPLEX VICTORVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUU DUYEN NGUYEN PHARM.D. (CHIEF PHARMACIST)
(760) 530-5700
Entity
Organization
Contact information
Practice address
FEDERAL CORRECTIONAL COMPLEX VICTORVILLE, 13777 AIR EXPRESSWAY BLVD., VICTORVILLE, CA 92394
(760) 530-5700
Mailing address
FEDERAL CORRECTIONAL COMPLEX VICTORVILLE, P.O. BOX 5400, ADELANTO, CA 92301
(760) 530-5700
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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