Organization
MCC SAN DIEGO
Active
Parent organization
US DEPT OF JUSTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
US DEPT OF JUSTICE
Authorized official
ADAM LOYSON (CHIEF PHARMACIST, MCC SAN DIEGO)
(619) 232-4311
Entity
Organization
Contact information
Practice address
808 UNION ST, SAN DIEGO, CA 92101-6030
(619) 232-4311
Mailing address
808 UNION ST, SAN DIEGO, CA 92101-6030
(619) 232-4311
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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