# DETENTION'S FACILITY PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306057229
- **Authorized official:** MR. BRUCE LEICHT (ADMINISTRATOR)
- **Authorized official phone:** (858) 974-5962

## Contact information

- **Practice address:** 8525 GIBBS DR STE 101, SAN DIEGO, CA 92123-1758
- **Practice address phone:** (858) 974-5977
- **Practice address fax:** (858) 974-5827
- **Mailing address:** 8525 GIBBS DR STE 101, SAN DIEGO, CA 92123-1758
- **Mailing address phone:** (858) 974-5977
- **Mailing address fax:** (858) 974-5827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | BD7140128 | CA | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/22/2020
