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Organization
VALDOSTA STATE UNIVERSITY
Active
Organization
VALDOSTA STATE UNIVERSITY
Active
Other names
VSU Student Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE LEWIS (ADMINISTRATOR)
(229) 333-5886
Entity
Organization
Contact information
Practice address
200 GEORGIA AVE, VALDOSTA, GA 31698-3843
(229) 219-3205
(229) 249-2791
Mailing address
200 GEORGIA AVE, VALDOSTA, GA 31602-3843
(229) 219-3205
(229) 249-2791
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE010386
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170766
PK
—
Enumeration date
09/06/2017
Last updated
09/19/2025
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