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Organization
CALIFORNIA STATE UNIVERSITY BAKERSFIELD
Active
Organization
CALIFORNIA STATE UNIVERSITY BAKERSFIELD
Active
Other names
CALIFORNIA STATE COLLEGE BAKERSFIELD
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN WITHERELL PHARMD (PHARMACIST IN CHARGE)
(661) 654-3304
Entity
Organization
Contact information
Practice address
9001 STOCKDALE HWY, 28HC, BAKERSFIELD, CA 93311-1022
(661) 654-3304
(661) 654-2573
Mailing address
9001 STOCKDALE HWY, 28HC, BAKERSFIELD, CA 93311-1022
(661) 654-3304
(661) 654-2573
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
PHE19592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002042
PK
—
Enumeration date
03/28/2007
Last updated
03/29/2016
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