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Organization
STATE OF CALIFORNIA
Active
Organization
STATE OF CALIFORNIA
Active
Other names
STUDENT HLTH SRVC CSU LONG BCH
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY CHEN (PHARMACY MANAGER)
(562) 985-1561
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
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
PHE14217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0534974
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
142170
—
CA
Enumeration date
07/22/2006
Last updated
04/23/2010
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