California State University, Sacramento
Pharmacy, Clinic Pharmacy in Sacramento, CA. Organization (NPI-2).
NPI number1972524924
StatusActive
Last updated in NPPESFeb 2, 2015
Details
- NPI
- 1972524924
- Entity type
- Organization (NPI-2)
- Legal business name
- California State University, Sacramento
- Organization subpart
- No
- Enumeration date
- Jul 22, 2006
- Last updated
- Feb 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0002X | Pharmacy, Clinic Pharmacy | PHE17371 | CA | Yes |
Other names
- Sacramento State Student Health Services Pharmacy (Doing Business As)
Practice location
6000 J St Fl 1The Well
Sacramento, CA 95819-2605
Phone 916-278-6040 · Fax 916-278-6046
Mailing address
6000 J St Fl 1The Well
Sacramento, CA 95819-2605
Phone 916-278-6040 · Fax 916-278-6046
Authorized official
Joy Stewart-James
Executive Director
9162786049
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