Organization
CALIFORNIA SUBSTANCE ABUSE TREATMENT FACILITY-STATE PRISON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN KARL ROSENBLATT PHARM.D. (PHARMACIST IN CHARGE)
(559) 992-7100
Entity
Organization
Contact information
Practice address
900 QUEBEC AVE, CORCORAN, CA 93212-9715
(559) 992-7100
(559) 992-7201
Mailing address
900 QUEBEC AVE, CORCORAN, CA 93212-9715
(559) 992-7100
(559) 992-7201
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LCF43147
—
CA
Enumeration date
10/15/2019
Last updated
10/15/2019
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