Organization
FLA A AND M UNIVERSITY STUDENT HLTH PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA ROSS (PHARMACY MANAGER)
(850) 412-7881
Entity
Organization
Contact information
Practice address
RM 113 STUDENT HEALTH SERVICES, FOOTE HILVER ADM BUILDING, TALLAHASSEE, FL 32307
(850) 412-7881
(850) 599-3742
Mailing address
RM 113 STUDENT HEALTH SERVICES, FOOTE HILVER ADM BUILDING, TALLAHASSEE, FL 32307
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH18062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022209
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/28/2006
Last updated
09/12/2007
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