Byu Id Student Hlth Cntr Pchy

NPI #1992726962 in Rexburg, Idaho

Provider Information

NPI Number
1992726962
Entity Type
Organization
Organization Name
Byu Id Student Hlth Cntr Pchy
Primary Specialty
Pharmacy - Clinic Pharmacy
Enumeration Date
Jul 22, 2006
Last Updated
Apr 18, 2017

Practice Location

Address
179 STUDENT HLTH CTR
State
Idaho
ZIP Code
83460-0001
Phone
(208) 496-9330

Authorized Official

Name
SHAWN ANDREASEN, PHARMD RPH
Title
PCHY DIR
Phone
(208) 496-9330

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy - Clinic PharmacyClinic Pharmacy

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