Organization
KENT STATE UNIVERSITY HEALTH CENTER
Active
Parent organization
KENT STATE UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENT STATE UNIVERSITY
Authorized official
MRS. LAURA JANE DAMICONE R.PH. (CHIEF PHARMACIST)
(330) 672-8254
Entity
Organization
Contact information
Practice address
1500 EASTWAY DR, DEWEESE HEALTH CENTER, KENT STATE UNIVERSITY HEALTH SERVICES PHARMACY, KENT, OH 44240-0001
(330) 372-8254
(330) 672-3711
Mailing address
1500 EASTWAY DR, DEWEESE HEALTH CENTER, KENT, OH 44242-0001
(330) 372-8254
(330) 672-3711
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
020259100
OH
3336C0003X
Community/Retail Pharmacy
Primary
020259100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3632444
NCPDP
OH
Enumeration date
02/28/2007
Last updated
03/07/2023
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