Organization
CORRECTIONS AND REHABILITATION-HEADQUARTERS
Active
Parent organization
CORRECTIONS AND REHABILITATION
Other names
Pelican Bay State Prison Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORRECTIONS AND REHABILITATION
Authorized official
PIERRE CAESARE SAUCIER JAMES (STAFF SERVICES MANAGER I)
(510) 780-6997
Entity
Organization
Contact information
Practice address
5905 LAKE EARL DR, CRESCENT CITY, CA 95532-0001
(707) 465-1000
(707) 465-9178
Mailing address
5905 LAKE EARL DR, CRESCENT CITY, CA 95532-0001
(707) 465-1000
(707) 465-9178
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
12/04/2024
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