Organization · Type 2 NPI

Corrections and Rehabilitation-Headquarters

Pharmacy · Imperial, CA

NPI number 1679108476 Active

Practice location

2302 Brown Road
Imperial, CA 92251

Call (760) 337-7900 Map

Fax (760) 482-3006

Mailing address

P.o. Box 731
Imperial, CA 92251-0731

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…

7 other providers at this address

NPI record

NPI: 1679108476
Entity type: Organization (Type 2)
Issued: Mar 12, 2020
Last updated: Dec 4, 2024
Status: Active
Subpart: Yes of Corrections and Rehabilitation

Other names

<unavail>
Centinella State Prison · doing business as
Centinella State Prison · doing business as

Authorized official

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

Verify this record

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.

Is this your record? How to update it.

About NPI 1679108476

Corrections and Rehabilitation-Headquarters's National Provider Identifier is 1679108476, issued on Mar 12, 2020. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Imperial, CA. The record was last updated on Dec 4, 2024.