Organization
SAM HOUSTON STATE UNIVERSITY
Active
Other names
University Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA BUMPURS (EXECUTIVE DIRECTOR HEALTH AND WELLB)
(936) 294-1843
Entity
Organization
Contact information
Practice address
1608 AVENUE J, HUNTSVILLE, TX 77340-5227
(936) 294-1803
(936) 294-3971
Mailing address
1608 AVENUE J, PO BOX 2358, HUNTSVILLE, TX 77340-5227
(936) 294-1843
(936) 294-3971
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
08007
TX
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4513506
NCPDP
—
01
—
5930703
NCPDP
—
Enumeration date
05/24/2007
Last updated
10/24/2023
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