Organization
STATE OF CALIFORNIA
Active
Other names
STUDENT HEALTH SERVICES CSU LONG BEACH
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY CHEN (PHARMACY MANAGER)
(562) 985-7899
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
3336I0012X
Institutional Pharmacy
Primary
PHE14217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2051704
PK
—
05
—
PHE142170
—
CA
Enumeration date
04/17/2007
Last updated
08/07/2013
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