Organization · Type 2 NPI

Corrections and Rehabilitation-Headquarters

Pharmacy · San Diego, CA

NPI number 1275169005 Active

Practice location

481 Alta Road, Facility E, Facility Support Building, Room A161
San Diego, CA 92179

Fax (619) 661-7894

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: 1275169005
Entity type: Organization (Type 2)
Issued: Mar 12, 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 E Pharmacy · doing business as
Richard J Donovan Correctional Facility E Pharmacy · doing business as

Authorized official

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

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About NPI 1275169005

Corrections and Rehabilitation-Headquarters's National Provider Identifier is 1275169005, issued on Mar 12, 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.