Organization
FEDERAL CORRECTIONAL INSTITUTION SHERIDAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM W. MANNING RPH (CHIEF PHARMACIST)
(503) 843-6446
Entity
Organization
Contact information
Practice address
27072 SW BALLSTON RD, SHERIDAN, OR 97378-9620
(503) 843-6446
(503) 843-6657
Mailing address
27072 SW BALLSTON RD, SHERIDAN, OR 97378-9620
(503) 843-6446
(503) 843-6657
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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