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Organization
UNIVERSITY OF CALIFORNIA IRVINE
Active
Organization
UNIVERSITY OF CALIFORNIA IRVINE
Active
Other names
UCI Health-Susan Samueli Integrated Health Institute Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH SIWABESSY (CHIEF FINANCIAL OFFICER)
(714) 456-5180
Entity
Organization
Contact information
Practice address
856 MEDICAL SCIENCES QUAD ROOMS 2212, 2212A-B 2222, IRVINE, CA 92697-0001
(714) 456-5514
Mailing address
1500 S DOUGLASS RD, 2ND FLOOR, RT 183, ANAHEIM, CA 92806
(714) 509-6266
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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