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Organization

UNIVERSITY OF CALIFORNIA RIVERSIDE

Active
Parent organization
UNIVERSITY OF CALIFORNIA, RIVERSIDE
Other names
Student Health Services Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF CALIFORNIA, RIVERSIDE
Authorized official
DR. SAMUEL T TRAN PHARMD (DIRECTOR OF PHARMACY)
(951) 827-3926
Entity
Organization

Contact information

Practice address
388 W LINDEN ST, RIVERSIDE, CA 92507-0001
(951) 827-3926
(951) 827-5829
Mailing address
CAMPUS HEALTH CENTER PHARMACY, 388 W LINDEN ST, RIVERSIDE, CA 92507-0001
(951) 827-4202
(951) 827-5829

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0564395
OTHER ID NUMBER-COMMERCIAL NUMBER
01
PHE59214
PHARMACY LICENSE
CA
Enumeration date
02/02/2007
Last updated
10/23/2023
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