CORRECTIONS AND REHABILITATION-HEADQUARTERS

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 located.

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Contact Information

CORRECTIONS AND REHABILITATION-HEADQUARTERS

5100 O'BYRNES FERRY ROAD
ATTN: PHARMACY
JAMESTOWN, CA 95327

Phone: 209-984-5291
Fax: 209-984-0630
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist
Institutional Pharmacy	3336I0012X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for CORRECTIONS AND REHABILITATION-HEADQUARTERS

NPI # 1871898304

LBN Legal business name CORRECTIONS AND REHABILITATION-HEADQUARTERS

Authorized official PIERRE JAMES - (STAFF SERVICES MANAGER I)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 01/13/2011

Last updated 12/04/2024 - More than a year ago

Identifiers

CA	License #	LCF 40998
	Other	5639856	NCPDP PROVIDER IDENTIFICATION NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CORRECTIONS AND REHABILITATION-HEADQUARTERS

Contact Information

Specialty

Pharmacy

Institutional Pharmacy

NPI Profile & details for CORRECTIONS AND REHABILITATION-HEADQUARTERS

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