| NPI | 1639190606 |
|---|---|
| Doing Business As | STUDENT HLTH SRVC CSU LONG BCH |
| Entity Type | Organization |
| Authorized Contact | KATHY CHEN Pharmacy Manager 562-985-1561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: CA PHE14217) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2010-04-23 |