Organization · Type 2 NPI

Corrections and Rehabilitation-Headquarters

Pharmacy · Sacramento, CA

NPI number 1366990293 Active

Practice location

8364 Rovana Circle
Sacramento, CA 95828-2522

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	65469 (CA)

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…

Another provider at this address

Nguyet Thi-Minh Vo, PHARM DPharmacist Sacramento, CA NPI 1801347026

Other pharmacy providers in Sacramento

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NPI record

NPI: 1366990293
Entity type: Organization (Type 2)
Issued: Sep 20, 2016
Last updated: Dec 4, 2024
Status: Active
Subpart: Yes of Corrections and Rehabilitation

Other names

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CDCR Central Fill Pharmacy · doing business as

Authorized official

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

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366990293

Corrections and Rehabilitation-Headquarters's National Provider Identifier is 1366990293, issued on Sep 20, 2016. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Sacramento, CA. The record was last updated on Dec 4, 2024.