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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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