# KENT STATE UNIVERSITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KENT STATE UNIVERSITY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326176850
- **Legal business name:** KENT STATE UNIVERSITY
- **Authorized official:** MRS. LAURA JANE DAMICONE R.PH. (CHIEF PHARMACIST)
- **Authorized official phone:** (330) 672-8254

## Contact information

- **Practice address:** 1500 EASTWAY DR, DEWEESE HEALTH CENTER, KENT STATE UNIVERSITY HEALTH SERVICES PHARMACY, KENT, OH 44240-0001
- **Practice address phone:** (330) 372-8254
- **Practice address fax:** (330) 672-3711
- **Mailing address:** 1500 EASTWAY DR, DEWEESE HEALTH CENTER, KENT, OH 44242-0001
- **Mailing address phone:** (330) 372-8254
- **Mailing address fax:** (330) 672-3711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332000000X | Military/U.S. Coast Guard Pharmacy | 020259100 | OH | — |
| 3336C0003X | Community/Retail Pharmacy | 020259100 | OH | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3632444 | NCPDP | OH |