National Provider Identifier Database

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.


Contact Information

CORRECTIONS AND REHABILITATION-HEADQUARTERS
1 MAIN STREET
SAN QUENTIN, CA94964
Phone: 415-454-1460
Fax: 415-419-4234
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Institutional Pharmacy 3336I0012X

* Indicates primary specialty

NPI Profile & details for CORRECTIONS AND REHABILITATION-HEADQUARTERS

NPI Number 1922308642
Legal business name
LBN
CORRECTIONS AND REHABILITATION-HEADQUARTERS
Authorized official PIERRE JAMES - (STAFF SERVICES MANAGER I)
Entity Organization
Organization subpart Yes
Enumeration date 10/28/2010
Last updated 12/04/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 17378
  • Other: 5639212 NCPDP PROVIDER IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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