Corrections and Rehabilitation-Headquarters

Organization Active NPI Pharmacy · San Luis Obispo, CA

NPI 1023644580 · NPPES record last updated Dec 4, 2024

Key facts

NPI
1023644580
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
Legal business name
CORRECTIONS AND REHABILITATION-HEADQUARTERS
Practice address
Highway 1
San Luis Obispo, CA 93409
Phone
(805) 547-7900
Fax
(805) 547-7326
NPI assigned
Mar 17, 2020
Organization subpart
Yes
Parent organization (as reported)
CORRECTIONS AND REHABILITATION

Authorized official

Name
Pierre Caesare Saucier James
Title
Staff Services Manager I
Phone
(510) 780-6997

Corporate family (same tax ID) 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Corrections and Rehabilitation-Headquarters (42 organizations share this tax ID)
Part of
Corrections and Rehabilitation-Headquarters

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Yes

Addresses

Primary practice location

Highway 1
San Luis Obispo, CA 93409

Mailing address

PO Box 8101
San Luis Obispo, CA 93409-8101
Phone (805) 547-7900

Other names

  • California Men's Colony Mental Health Crisis Bed Pharmacy Doing business as

Other providers in San Luis Obispo, CA

All providers in San Luis Obispo, CA · Pharmacy in California

Sources for this page

Verify at the official NPI Registry.