Organization
UCSD STUDENT HEALTH SERVICE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L NAMBA PHARM.D. (STAFF PHARMACIST)
(858) 534-2135
Entity
Organization
Contact information
Practice address
9500 GILMAN DR DEPT 39, LA JOLLA, CA 92093-0039
(858) 534-2135
(858) 534-0814
Mailing address
9500 GILMAN DRIVE, MAIL CODE 0039, LA JOLLA, CA 92093-0039
(858) 534-2135
(858) 534-0814
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
RPH27876
CA
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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