| NPI | 1124177100 |
|---|---|
| Doing Business As | SDSU JACKRABBIT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAELA WILLIS VP For Student Affairs 605-688-4493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: SD 100-0492) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2021-12-28 |