# GEORGIA SOUTHERN UNIVERSITY HEALTH SERVICES PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GEORGIA SOUTHERN UNIVERSITY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578861431
- **Legal business name:** GEORGIA SOUTHERN UNIVERSITY
- **Authorized official:** MRS. E DIANE NORRIS MA (DIRECTOR OF HEALTH SERVICES)
- **Authorized official phone:** (912) 478-7288

## Contact information

- **Practice address:** 984 PLANT DR, STATESBORO, GA 30460-0001
- **Practice address phone:** (912) 478-5780
- **Practice address fax:** (912) 478-8523
- **Mailing address:** 984 PLANT DR, STATESBORO, GA 30460-0001
- **Mailing address phone:** (912) 478-5780
- **Mailing address fax:** (912) 478-8523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE009598 | GA | Yes |

## Other

- **Enumeration date:** 03/02/2011
- **Last updated:** 01/28/2016