Organization
SDSU JACKRABBIT PHARMACY
Active
Other names
SDSU Jackrabbit Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELA WILLIS (VP FOR STUDENT AFFAIRS)
(605) 688-4493
Entity
Organization
Contact information
Practice address
N CAMPUS DR, SDSU WELLNESS CENTER ROOM 119, BROOKINGS, SD 57007-0001
(605) 688-5410
(605) 688-5267
Mailing address
1440 NORTH CAMPUS DR RM 102, BROOKINGS, SD 57007
(605) 688-5410
(605) 688-5267
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
100-0492
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093681
PK
—
Enumeration date
01/09/2007
Last updated
12/28/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us