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CALIFORNIA STATE UNIVERSITY EAST BAY NPI 1992805949


NPI Information

NPI: 1992805949
Provider Name: CALIFORNIA STATE UNIVERSITY EAST BAY

Doing Business As: CALIFORNIA STATE UNIVERSITY EAST BAY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
25800 CARLOS BEE BLVD
HAYWARD, CA
ZIP 94542
Phone: (510) 885-3650
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CALIFORNIA STATE UNIVERSITY EAST BAY is a clinic pharmacy pharmacy in Hayward, 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. CALIFORNIA STATE UNIVERSITY EAST BAY NPI is 1992805949. The provider is registered as an organization entity type.
The provider Is Doing Business As California State University East Bay.

The provider's business location address is:

25800 CARLOS BEE BLVD
HAYWARD, CA
ZIP 94542-000
Phone: (510) 885-3650
Fax: (510) 885-7477

The provider's authorized official is Robert Mar .
The authorized official title is Pic and has the following contact phone number (510) 885-3650.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 4/13/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0002XPharmacyClinic PharmacyPHE17358CALIFORNIAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12047984OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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