| NPI | 1407613326 |
|---|---|
| Doing Business As | RIO COSUMNES CORRECTIONAL CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NOEL VARGAS Deputy Director 916-876-7179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2025-01-21 |