Organization
CORRECTIONS AND REHABILITATION-HEADQUARTERS
Active
Parent organization
CORRECTIONS AND REHABILITATION
Other names
Sierra Conservation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORRECTIONS AND REHABILITATION
Authorized official
PIERRE CAESARE SAUCIER JAMES (STAFF SERVICES MANAGER I)
(510) 780-6997
Entity
Organization
Contact information
Practice address
5100 O'BYRNES FERRY ROAD, ATTN: PHARMACY, JAMESTOWN, CA 95327
(209) 984-5291
(209) 984-0630
Mailing address
5100 O'BYRNES FERRY ROAD, ATTN: PHARMACY, JAMESTOWN, CA 95327
(209) 984-5291
(209) 984-0630
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336I0012X
Institutional Pharmacy
LCF 40998
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5639856
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/13/2011
Last updated
12/04/2024
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