# CLEMSON UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Redfern Health Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376669184
- **Authorized official:** LESSLIE PEKAREK MD (AVP OF STUDENT HEALTH AND WELLNESS)
- **Authorized official phone:** (864) 656-3565

## Contact information

- **Practice address:** 735 MCMILLAN RD, CLEMSON UNIVERSITY, CLEMSON, SC 29634-0001
- **Practice address phone:** (864) 656-3562
- **Practice address fax:** (864) 656-2500
- **Mailing address:** PO BOX 344054, CLEMSON UNIVERSITY, CLEMSON, SC 29634-0001
- **Mailing address phone:** (864) 656-3562
- **Mailing address fax:** (864) 656-2500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 1715 | SC | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 02/13/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2089100 | PK | — |
| 05 | — | 717152 | — | SC |