Provider Demographics
NPI:1295085413
Name:UNIVERSITY OF THE PACIFIC
Entity type:Organization
Organization Name:UNIVERSITY OF THE PACIFIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSOR, ASSIST. DEAN & DIRECTOR
Authorized Official - Prefix:PROF
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:UCHIZONO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, PHD
Authorized Official - Phone:209-946-2396
Mailing Address - Street 1:3601 PACIFIC AVE
Mailing Address - Street 2:T. J. LONG SCHOOL OF PHARMACY
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95211-0110
Mailing Address - Country:US
Mailing Address - Phone:209-946-2396
Mailing Address - Fax:209-932-4038
Practice Address - Street 1:3601 PACIFIC AVE
Practice Address - Street 2:T. J. LONG SCHOOL OF PHARMACY
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95211-0110
Practice Address - Country:US
Practice Address - Phone:209-946-2396
Practice Address - Fax:209-932-4038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA434541835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Single Specialty