Organization
CORRECTIONS AND REHABILITATION-HEADQUARTERS
Active
Parent organization
CORRECTIONS AND REHABILITATION
Other names
California Medical Facility
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
1600 CALIFORNIA DRIVE, VACAVILLE, CA 95687
(707) 448-6841
(707) 453-7011
Mailing address
1600 CALIFORNIA DRIVE, VACAVILLE, CA 95687
(707) 448-6841
(707) 453-7011
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336I0012X
Institutional Pharmacy
HPE19506
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143453
PK
—
Enumeration date
12/10/2013
Last updated
12/04/2024
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