Provider Demographics
NPI:1114159373
Name:WELLCAT HEALTH CENTER PHARMACY
Entity Type:Organization
Organization Name:WELLCAT HEALTH CENTER PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ANEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-898-3044
Mailing Address - Street 1:400 WEST 1ST STREET CSU CHICO STUDEN HEALTH SERVICE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95929-0777
Mailing Address - Country:US
Mailing Address - Phone:530-898-3044
Mailing Address - Fax:530-898-6731
Practice Address - Street 1:601 WARNER STREET
Practice Address - Street 2:CSU CHICO STUDEN HEALTH SERVICE
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95929-0777
Practice Address - Country:US
Practice Address - Phone:530-898-5241
Practice Address - Fax:530-898-4057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA799539261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health