# CALIFORNIA STATE UNIVERSITY BAKERSFIELD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CALIFORNIA STATE COLLEGE BAKERSFIELD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811016488
- **Authorized official:** ALAN WITHERELL PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (661) 654-3304

## Contact information

- **Practice address:** 9001 STOCKDALE HWY, 28HC, BAKERSFIELD, CA 93311-1022
- **Practice address phone:** (661) 654-3304
- **Practice address fax:** (661) 654-2573
- **Mailing address:** 9001 STOCKDALE HWY, 28HC, BAKERSFIELD, CA 93311-1022
- **Mailing address phone:** (661) 654-3304
- **Mailing address fax:** (661) 654-2573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | — |
| 3336I0012X | Institutional Pharmacy | PHE19592 | CA | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 03/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2002042 | PK | — |
