Corrections And Rehabilitation-Headquarters
Pharmacy in Chowchilla, CA. Organization (NPI-2).
NPI number1366077166
StatusActive
Last updated in NPPESDec 4, 2024
Details
- NPI
- 1366077166
- Entity type
- Organization (NPI-2)
- Legal business name
- Corrections And Rehabilitation-Headquarters
- Organization subpart
- Yes
- Enumeration date
- Mar 12, 2020
- Certification date
- Dec 4, 2024
- Last updated
- Dec 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
Other names
- Ccwf Pharmacy (Doing Business As)
Practice location
23370 Road 22Chowchilla, CA 93610
Phone 559-665-5531 · Fax 559-665-8110
Mailing address
Po Box 1501Chowchilla, CA 93610
Phone 559-665-5531 · Fax 559-665-8110
Authorized official
Pierre Caesare Saucier James
Staff Services Manager I
5107806997
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