Neumiller Infirmary Pharmacy
LBN: Corrections And Rehabilitation
Neumiller Infirmary Pharmacy is an health care organization with primary practice located at 1 Main Street , San Quentin CA 94964. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Corrections And Rehabilitation can be contacted via phone (415) 454-1460, or through Tharratt, Robert Steven via phone (916) 691-9913.
Contact Information
Primary practice address
1 Main Street
San Quentin CA 94964
Phone: (415) 454-1460
Fax: (415) 419-4234
Website:
Authorized official contact:
Name: Tharratt, Robert Steven Doctor of Medicine (MD)
Phone: (916) 691-9913
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Institutional Pharmacy | 3336I0012X | 17378 | California |
Profile Details
| NPI number | 1922308642 |
|---|---|
| LBN Legal business name | Corrections And Rehabilitation |
| DBA Doing business as | Neumiller Infirmary Pharmacy |
| Authorized official | Tharratt, Robert Steven Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 28th, 2010 |
| Last updated | Mar 18th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922308642 | NPPES |
| Other | 5639212 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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