Organization
FAYETTEVILLE STATE UNIVERSITY
Active
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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