Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UC DAVIS CLINIC PHARMACY IN DAVIS
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DOLL (CHIEF FINANCIAL OFFICER)
(916) 734-9446
Entity
Organization
Contact information
Practice address
2660 W COVELL BLVD, DAVIS, CA 95616-5645
(530) 747-3051
(530) 747-3060
Mailing address
PO BOX 744719, LOS ANGELES, CA 90074-4719
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0504135
NCPDP
—
05
—
1114932712
—
CA
01
—
PHE40255
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
07/30/2006
Last updated
05/16/2025
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