Organization
CALIFORNIA STATE UNIVERSITY, SACRAMENTO
Active
Other names
Sacramento State Student Health Services Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOY STEWART-JAMES PHARMD (EXECUTIVE DIRECTOR)
(916) 278-6049
Entity
Organization
Contact information
Practice address
6000 J ST FL 1, THE WELL, SACRAMENTO, CA 95819-2605
(916) 278-6040
(916) 278-6046
Mailing address
6000 J ST FL 1, THE WELL, SACRAMENTO, CA 95819-2605
(916) 278-6040
(916) 278-6046
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHE17371
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1997199
PK
—
05
—
PHB173710
—
CA
Enumeration date
07/22/2006
Last updated
02/02/2015
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