Organization
CLEMSON UNIVERSITY
Active
Other names
Redfern Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LESSLIE PEKAREK MD (AVP OF STUDENT HEALTH AND WELLNESS)
(864) 656-3565
Entity
Organization
Contact information
Practice address
735 MCMILLAN RD, CLEMSON UNIVERSITY, CLEMSON, SC 29634-0001
(864) 656-3562
(864) 656-2500
Mailing address
PO BOX 344054, CLEMSON UNIVERSITY, CLEMSON, SC 29634-0001
(864) 656-3562
(864) 656-2500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1715
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089100
PK
—
05
—
717152
—
SC
Enumeration date
03/22/2007
Last updated
02/13/2025
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