| NPI | 1114159373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANEL ANDERSON Pharmacist In Charge 530-898-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: CA 799539) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2023-08-23 |