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Organization

REGENTS OF THE UNIVERSITY OF CALIFORNIA

Active
Other names
UCI CAMPUS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN SHIOYA PHARMD (PHARMACY DIRECTOR)
(949) 824-1440
Entity
Organization

Contact information

Practice address
501 STUDENT HEALTH CENTER DR, IRVINE, CA 92697-5200
(949) 824-1440
(949) 824-3666
Mailing address
501 STUDENT HEALTH CENTER DR, IRVINE, CA 92697-5200
(949) 824-1440
(949) 824-3666

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
Primary
PHE35938
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0598524
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
06/08/2006
Last updated
09/29/2009
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