Organization
STUDENT HEALTH SERVICE PHARMACY
Active
Other names
CALIFORNIA POLYTECHNIC STATE UNIVERSITY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HARRIS PHARM.D. (DIR STDT HEALTH AND COUNSELING)
(805) 756-1211
Entity
Organization
Contact information
Practice address
1 GRAND AVE BLDG 27, HEALTH CENTER, SAN LUIS OBISPO, CA 93407-9000
(805) 756-5260
(805) 756-7001
Mailing address
1 GRAND AVE BLDG 27, HEALTH CENTER, SAN LUIS OBISPO, CA 93407-9000
(805) 756-5260
(805) 756-7001
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHE9774
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107502
PK
—
Enumeration date
03/08/2007
Last updated
09/02/2014
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