Organization
OSU STUDENT HEALTH CENTER PHARMACY
Active
Other names
OSU STUDENT HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DAVIS PHARMD (DIRECTOR)
(541) 737-3491
Entity
Organization
Contact information
Practice address
PLAGEMAN BUILDING ROOM 109, OREGON STATE UNIVERSITY, CORVALLIS, OR 97331
(541) 737-3491
(541) 737-7616
Mailing address
PLAGEMAN BUILDING ROOM 109, OREGON STATE UNIVERSITY, CORVALLIS, OR 97331
(541) 737-3491
(541) 737-7616
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP0000149CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180075
—
OR
01
—
2077285
PK
—
Enumeration date
07/28/2006
Last updated
03/24/2017
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