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Organization
CLEMSON UNIVERSITY
Active
Organization
CLEMSON UNIVERSITY
Active
Other names
Redfern Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LESSLIE PEKAREK MD (AVP OF STUDENT HEALTH AND WELLNESS)
(864) 656-3565
Entity
Organization
Contact information
Practice address
735 MCMILLAN RD, CLEMSON UNIVERSITY, CLEMSON, SC 29634-0001
(864) 656-3562
(864) 656-2500
Mailing address
PO BOX 344054, CLEMSON UNIVERSITY, CLEMSON, SC 29634-0001
(864) 656-3562
(864) 656-2500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
1715
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089100
PK
—
05
—
717152
—
SC
Enumeration date
03/22/2007
Last updated
02/13/2025
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