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Organization

UTAH STATE UNIVERSITY STUDENT HEALTH CENTER

Active
Other names
Student Health Center Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES W DAVIS M.D. (EXECUTIVE DIRECTOR)
(435) 797-1660
Entity
Organization

Contact information

Practice address
850 E 1200 N, LOGAN, UT 84322-9100
(435) 797-1660
(435) 797-3585
Mailing address
9100 OLD MAIN HL, LOGAN, UT 84322-9100
(435) 797-1660
(435) 797-3585

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
122899-1703
UT

Other

Enumeration date
05/14/2007
Last updated
01/24/2014
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