Organization
CALIFORNIA STATE UNIVERSITY BAKERSFIELD
Active
Other names
CALIFORNIA STATE COLLEGE BAKERSFIELD
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN WITHERELL PHARMD (PHARMACIST IN CHARGE)
(661) 654-3304
Entity
Organization
Contact information
Practice address
9001 STOCKDALE HWY, 28HC, BAKERSFIELD, CA 93311-1022
(661) 654-3304
(661) 654-2573
Mailing address
9001 STOCKDALE HWY, 28HC, BAKERSFIELD, CA 93311-1022
(661) 654-3304
(661) 654-2573
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
PHE19592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002042
PK
—
Enumeration date
03/28/2007
Last updated
03/29/2016
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