Organization · Type 2 NPI

Corrections and Rehabilitation-Headquarters

Pharmacy · Ione, CA

NPI number 1700412368 Active

Practice location

4001 Hwy 104
Ione, CA 95640

Call (209) 274-4911 Map

Fax (209) 274-6039

Mailing address

PO Box 409099
Ione, CA 95640

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…

12 other providers at this address

Other pharmacy providers in Ione

Corrections and Rehabilitation-HeadquartersPharmacy Ione, CA NPI 1912532730

See all in Ione →

NPI record

NPI: 1700412368
Entity type: Organization (Type 2)
Issued: Mar 16, 2020
Last updated: Dec 4, 2024
Status: Active
Subpart: Yes of Corrections and Rehabilitation

Other names

<unavail>
Mule Creek State Prison Pharmacy · doing business as
Mule Creek State Prison Pharmacy · 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 1700412368

Corrections and Rehabilitation-Headquarters's National Provider Identifier is 1700412368, issued on Mar 16, 2020. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Ione, CA. The record was last updated on Dec 4, 2024.