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Corrections and Rehabilitation-Headquarters

Organization Active NPI Pharmacy · Vacaville, CA

NPI 1124648712 · NPPES record last updated Dec 4, 2024

Key facts

NPI
1124648712
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
Legal business name
CORRECTIONS AND REHABILITATION-HEADQUARTERS
Practice address
2100 Peabody Road
Vacaville, CA 95687
Phone
(707) 451-0182
Fax
(707) 454-3400
NPI assigned
Apr 23, 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 45

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

View all 45

National Provider Directory

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

Locations

2100 Peabody Rd
Vacaville, CA 95687
Phone (707) 451-0182

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Yes

Addresses

Primary practice location

2100 Peabody Road
Vacaville, CA 95687

Mailing address

P.O. Box 4000
Vacaville, CA 95696-4000
Phone (707) 451-0182

Other names

  • California State Prison Pharmacy Doing business as

Other providers in Vacaville, CA

All providers in Vacaville, CA · Pharmacy in California

Sources for this page

Verify at the official NPI Registry.