Organization
FAYETTEVILLE STATE UNIVERSITY
Active
Other names
Student Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IESCHECIA NYTONYA GRAHAM ALLEN MS, RHIT (EXECUTIVE DIRECTOR)
(910) 672-2602
Entity
Organization
Contact information
Practice address
1200 MURCHISON ROAD, STUDENT HEALTH SERVICES, FAYETTEVILLE, NC 28301-4252
(910) 672-2602
(910) 500-6680
Mailing address
1200 MURCHISON ROAD, STUDENT HEALTH SERVICES, FAYETTEVILLE, NC 28301-4252
(910) 672-2602
(910) 500-6680
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
04032
NC
Other
Enumeration date
08/09/2018
Last updated
11/24/2023
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