Organization · Type 2 NPI

Corrections and Rehabilitation-Headquarters

Pharmacy · San Diego, CA

NPI number 1205462769 Active

Practice location

480 Alta Road, Pharmacy Building Room 122
San Diego, CA 92179

Fax (619) 671-7588

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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NPI record

NPI: 1205462769
Entity type: Organization (Type 2)
Issued: Mar 17, 2020
Last updated: Dec 4, 2024
Status: Active
Subpart: Yes of Corrections and Rehabilitation

Other names

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Richard J Donovan Correctional Facility Pharmacy · doing business as
Richard J Donovan Correctional Facility Pharmacy · doing business as

Authorized official

Pierre Caesare Saucier James
Staff Services Manager I
(510) 780-6997

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About NPI 1205462769

Corrections and Rehabilitation-Headquarters's National Provider Identifier is 1205462769, issued on Mar 17, 2020. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in San Diego, CA. The record was last updated on Dec 4, 2024.