# OSU STUDENT HEALTH CENTER PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OSU STUDENT HEALTH CENTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942214747
- **Authorized official:** JENNIFER DAVIS PHARMD (DIRECTOR)
- **Authorized official phone:** (541) 737-3491

## Contact information

- **Practice address:** PLAGEMAN BUILDING ROOM 109, OREGON STATE UNIVERSITY, CORVALLIS, OR 97331
- **Practice address phone:** (541) 737-3491
- **Practice address fax:** (541) 737-7616
- **Mailing address:** PLAGEMAN BUILDING ROOM 109, OREGON STATE UNIVERSITY, CORVALLIS, OR 97331
- **Mailing address phone:** (541) 737-3491
- **Mailing address fax:** (541) 737-7616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RP0000149CS | OR | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 03/24/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 180075 | — | OR |
| 01 | — | 2077285 | PK | — |