Organization
SACRAMENTO COUNTY YOUTH DETENTION FACILITY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL VARGAS (DEPUTY DIRECTOR)
(916) 876-7179
Entity
Organization
Contact information
Practice address
9601 KIEFER BLVD, SACRAMENTO, CA 95827-3818
(916) 875-5647
Mailing address
9601 KIEFER BLVD, SACRAMENTO, CA 95827-3818
(916) 875-5647
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
—
—
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
02/21/2025
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