| NPI | 1760237838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL VARGAS Deputy Director 916-876-7179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Additional Taxonomies | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2025-02-21 |