STUDENT HEALTH SERVICE PHARMACY NPI 1578694675

NPI Information

STUDENT HEALTH SERVICE PHARMACY is a clinic pharmacy pharmacy in San Luis Obispo, CA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. STUDENT HEALTH SERVICE PHARMACY NPI is 1578694675. The provider is registered as an organization entity type.
The provider Is Doing Business As California Polytechnic State University.

The provider's business location address is:

1 GRAND AVE BLDG 27
HEALTH CENTER
SAN LUIS OBISPO, CA
ZIP 93407-000
Phone: (805) 756-5260
Fax: (805) 756-7001

The provider's authorized official is David Harris .
The authorized official title is Dir Stdt Health And Counseling and has the following contact phone number (805) 756-1211.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 9/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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