Organization
COUNTY OF SAN JOAQUIN
Active
Other names
CORRECTIONAL HEALTHCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER GUERRERO PHARMD (PHARMACY MANAGER)
(209) 468-4761
Entity
Organization
Contact information
Practice address
7000 MICHAEL CANLIS WAY, FRENCH CAMP, CA 95231-9781
(209) 468-4761
(209) 468-4772
Mailing address
7000 MICHAEL CANLIS WAY, FRENCH CAMP, CA 95231-9781
(209) 468-4761
(209) 468-4772
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
LCF37855
CA
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001271
PK
—
Enumeration date
01/30/2007
Last updated
10/29/2024
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