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VALDOSTA STATE UNIVERSITY NPI 1083132484


NPI Information

NPI: 1083132484
Provider Name: VALDOSTA STATE UNIVERSITY

Doing Business As: VSU STUDENT HEALTH CENTER

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 11D0865334

Address:
200 GEORGIA AVE
VALDOSTA, GA
ZIP 31698
Phone: (229) 219-3205
Get Directions

VALDOSTA STATE UNIVERSITY is a pharmacy in Valdosta, GA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. VALDOSTA STATE UNIVERSITY NPI is 1083132484. The provider is registered as an organization entity type.
The provider Is Doing Business As Vsu Student Health Center.

The provider's business location address is:

200 GEORGIA AVE
VALDOSTA, GA
ZIP 31698-843
Phone: (229) 219-3205
Fax: (229) 249-2791

The provider's authorized official is Lynette Lewis .
The authorized official title is Administrator and has the following contact phone number (229) 333-5886.

The CLIA number assigned to this NPI record is 11D0865334 - school/student health service with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/6/2017 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyPHRE010386GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12170766OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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