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Organization
STATE OF CALIFORNIA
Active
Organization
STATE OF CALIFORNIA
Active
Other names
STUDENT HEALTH SERVICES CSU LONG BEACH
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY CHEN (PHARMACY MANAGER)
(562) 985-7899
Entity
Organization
Contact information
Practice address
1250 N BELLFLOWER BLVD, LONG BEACH, CA 90840-0004
(562) 985-1561
(562) 985-8404
Mailing address
1250 N BELLFLOWER BLVD, LONG BEACH, CA 90840-0004
(562) 985-1561
(562) 985-8404
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
PHE14217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2051704
PK
—
05
—
PHE142170
—
CA
Enumeration date
04/17/2007
Last updated
08/07/2013
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