Sonoma State University
LBN: Student Health Ctr Pharmacy
Sonoma State University is an health care organization with primary practice located at 1801 E Cotati Ave Student Health Center, Rohnert Park CA 94928-3613. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Student Health. Ambulatory Health Care Facilities / Student Health is the primary health care specialty.
Student Health Ctr Pharmacy can be contacted via phone (707) 664-2921, or through Whitaker, Irvin William via phone (707) 664-2921.
Contact Information
Primary practice address
1801 E Cotati Ave Student Health Center
Rohnert Park CA 94928-3613
Phone: (707) 664-2921
Fax: (707) 664-2925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | PHE19589 | California |
| Ambulatory Health Care Facilities / Student Health | 261QS1000X | PHE 19589 | California |
Profile Details
| NPI number | 1699838763 |
|---|---|
| LBN Legal business name | Student Health Ctr Pharmacy |
| DBA Doing business as | Sonoma State University |
| Authorized official | Whitaker, Irvin William R.PH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699838763 | NPPES |
| California | Other | PHE 19589 | RETAIL PHARMACY LICENSE |
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