Organization
CALIFORNIA STATE UNIVERSITY STANISLAUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT HENNES M.D. (STUDENT HEALTH CENTER DIRECTOR)
(209) 667-3396
Entity
Organization
Contact information
Practice address
1 UNIVERSITY CIR, TURLOCK, CA 95382-3200
(209) 667-3396
(209) 667-3195
Mailing address
1 UNIVERSITY CIR, TURLOCK, CA 95382-3200
(209) 667-3396
(209) 667-3195
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
CLE1147
CA
3336C0003X
Community/Retail Pharmacy
PHE19595
CA
Other
Enumeration date
02/27/2007
Last updated
02/19/2015
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