Organization
CORRECTIONS AND REHABILITATION-HEADQUARTERS
Active
Parent organization
CORRECTIONS AND REHABILITATION
Other names
Richard J Donovan Correctional Facility Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORRECTIONS AND REHABILITATION
Authorized official
PIERRE CAESARE SAUCIER JAMES (STAFF SERVICES MANAGER I)
(510) 780-6997
Entity
Organization
Contact information
Practice address
480 ALTA ROAD, PHARMACY BUILDING ROOM 122, SAN DIEGO, CA 92179
(619) 661-6500
(619) 671-7588
Mailing address
480 ALTA ROAD, PHARMACY BUILDING ROOM 122, SAN DIEGO, CA 92179
(619) 661-6500
(619) 671-7588
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
12/04/2024
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