| NPI | 1275169005 |
|---|---|
| Doing Business As | RICHARD J DONOVAN CORRECTIONAL FACILITY E PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT STEVEN THARRATT Statewide Chief Medical Executive 916-691-9913 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |