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:
Map and Directions
Authorized official contact:
Name: Tharratt, Robert Steven Doctor of Medicine (MD)
Phone: (916) 691-9913

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922308642 NPPES
Other 5639212 NCPDP PROVIDER IDENTIFICATION NUMBER

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