CALIFORNIA POLYTECHNIC STATE UNIVERSITY
NPI 1578694675
Pharmacy - Clinic Pharmacy in San Luis Obispo, CA

Q: What is Student Health Service Pharmacy's NPI number?

The NPI number for Student Health Service Pharmacy is 1578694675. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as California Polytechnic State University.

Q: What is Student Health Service Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Active since March 08, 2007

1 GRAND AVE BLDG 27, HEALTH CENTER, SAN LUIS OBISPO, CA 93407(805) 756-5260(805) 756-7001 Get Directions Write a Review

NPPES record last updated: September 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About California Polytechnic State University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALIFORNIA POLYTECHNIC STATE UNIVERSITY (NPI 1578694675) is a healthcare organization registered as a clinic pharmacy in San Luis Obispo, California and active in the NPI registry since March 2007. The organization lists David Harris, Dir Stdt Health And Counseling, as its authorized official.

NPPES Registry Identity

NPI1578694675

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business NameSTUDENT HEALTH SERVICE PHARMACY

Location Address1 GRAND AVE BLDG 27, HEALTH CENTERSan Luis Obispo, CA 93407-9000

Mailing Address1 Grand Ave Bldg 27, Health CenterSan Luis Obispo, CA 93407-9000 · (805) 756-5260 · Fax (805) 756-7001

Phone(805) 756-5260

Fax(805) 756-7001

Organization SubpartNo

Authorized OfficialDavid HarrisDir Stdt Health And Counseling · (805) 756-1211

Enumeration DateMarch 8, 2007

Last NPPES UpdateSeptember 2, 2014

✔ NPI 1578694675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers

Taxonomy Code3336C0002X

License✔ Licensed in CA · PHE9774

Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

1 GRAND AVE BLDG 27, San Luis Obispo, CA 93407

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Other Names 1

Doing Business AsCalifornia Polytechnic State University

Other Identifiers 1

Other2107502Pk

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRY CHEN D.O.

Family Medicine