Organization
CALIFORNIA STATE UNIVERSITY EAST BAY
Active
Other names
CALIFORNIA STATE UNIVERSITY EAST BAY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MAR (PIC)
(510) 885-3650
Entity
Organization
Contact information
Practice address
25800 CARLOS BEE BLVD, HAYWARD, CA 94542-3000
(510) 885-3650
(510) 885-7477
Mailing address
25800 CARLOS BEE BLVD, HAYWARD, CA 94542-3000
(510) 885-3650
(510) 885-7477
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
PHE17358
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047984
PK
—
Enumeration date
09/22/2006
Last updated
04/13/2016
Update your record
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