OrganizationActive
Detention'S Facility Pharmacy
NPI 1306057229 · Institutional Pharmacy · San Diego, CA
Provider details
- NPI number
- 1306057229
- Entity type
- Organization
- Primary specialty
- Institutional PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Bruce Leicht, Administrator(858) 974-5962
- License
- BD7140128 (CA)
Specialties & taxonomies
Suppliers
Practice location
8525 Gibbs Dr Ste 101
San Diego, CA 92123-1758
Phone: (858) 974-5977
Fax: (858) 974-5827
Approximate (ZIP-level) locationGet directions
Mailing address
8525 Gibbs Dr Ste 101
San Diego, CA 92123-1758
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.