Student Health Services Pharmacy

LBN: Student Health Services Pharmacy
Student Health Services Pharmacy is an health care organization with primary practice located at 200 Cafeteria Drive , Durham NC 27707. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Student Health Services Pharmacy can be contacted via phone (919) 530-5465, or through Shackleford, Brian Alexander via phone (919) 530-7908.

Contact Information

Primary practice address
200 Cafeteria Drive Durham NC 27707
Fax: (919) 530-7968
Website:
Authorized official contact:
Name: Shackleford, Brian Alexander Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5196 North Carolina

Profile Details

NPI number 1487977799
LBN Legal business name Student Health Services Pharmacy
DBA Doing business as Student Health Services Pharmacy
Authorized official Shackleford, Brian Alexander Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2010
Last updated Feb 3rd, 2023 - about 3 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 1487977799 NPPES
North Carolina MEDICAID 0326804
North Carolina Other 2070969

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