CORRECTIONS AND REHABILITATION-HEADQUARTERS is a pharmacy in Crescent City, CA. The provider is 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. CORRECTIONS AND REHABILITATION-HEADQUARTERS NPI is 1053946889. The provider is registered as an organization entity type. The provider Is Doing Business As Pelican Bay State Prison Pharmacy.
The provider's business location address is:
5905 LAKE EARL DR CRESCENT CITY, CA ZIP 95532-001 Phone: (707) 465-1000 Fax: (707) 465-9178
The provider's authorized official is Pierre Caesare Saucier James . The authorized official title is Staff Services Manager I and has the following contact phone number (510) 780-6997.
The enumeration date for this NPI number is 3/12/2020 and was last updated on 12/4/2024.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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