# UH SYSTEM CONSOLIDATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Student Health Pharmacy University of Houston, University of Houston Campus Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568727642
- **Authorized official:** JON RUSCIANO MD (DIRECTOR)
- **Authorized official phone:** (713) 743-5151

## Contact information

- **Practice address:** 4349 MARTIN LUTHER KING BLVD, ROOM 1211, HOUSTON, TX 77204
- **Practice address phone:** (713) 743-5125
- **Practice address fax:** (713) 743-3971
- **Mailing address:** 4349 MARTIN LUTHER KING BLVD, ROOM 1211, HOUSTON, TX 77204
- **Mailing address phone:** (713) 743-5125
- **Mailing address fax:** (713) 743-3971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | 6017 | TX | Yes |

## Other

- **Enumeration date:** 07/05/2012
- **Last updated:** 02/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4537140 | NCPDP | — |