Byu-Idaho Student Health Center Pharmacy

LBN: Byu Id Student Hlth Cntr Pchy
Byu-Idaho Student Health Center Pharmacy is an health care organization with primary practice located at 179 Student Hlth Ctr , Rexburg ID 83460-0001. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Byu Id Student Hlth Cntr Pchy can be contacted via phone (208) 496-9330, or through Andreasen, Shawn via phone (208) 496-9330.

Contact Information

Primary practice address
179 Student Hlth Ctr Rexburg ID 83460-0001
Phone: (208) 496-9330
Fax: (208) 496-9343
Website:
Map and Directions
Authorized official contact:
Name: Andreasen, Shawn PHARMD RPH
Phone: (208) 496-9330

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X 614RP Idaho
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1992726962
LBN Legal business name Byu Id Student Hlth Cntr Pchy
DBA Doing business as Byu-Idaho Student Health Center Pharmacy
Authorized official Andreasen, Shawn PHARMD RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Apr 18th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992726962 NPPES
Other 2020561 PK

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