Organization · Type 2 NPI

Corrections and Rehabilitation-Headquarters

Pharmacy · Represa, CA

NPI number 1154953529 Active

Practice location

100 Prison Road
Represa, CA 95671-3000

Fax (916) 294-3114

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

6 other providers at this address

Other pharmacy providers in Represa

Corrections and Rehabilitation-HeadquartersPharmacy Represa, CA NPI 1821621764

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NPI record

NPI: 1154953529
Entity type: Organization (Type 2)
Issued: Feb 4, 2020
Last updated: Dec 4, 2024
Status: Active
Subpart: Yes of Corrections and Rehabilitation

Other names

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California State Prison-Sacramento · doing business as
California State Prison-Sacramento · doing business as

Authorized official

Pierre Caesare Saucier James
Staff Services Manager I
(510) 780-6997

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About NPI 1154953529

Corrections and Rehabilitation-Headquarters's National Provider Identifier is 1154953529, issued on Feb 4, 2020. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Represa, CA. The record was last updated on Dec 4, 2024.