<Unavail>

LBN: Valdosta State University
<Unavail> is an health care organization with primary practice located at 200 Georgia Ave , Valdosta GA 31698-3843. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Valdosta State University can be contacted via phone (229) 219-3205, or through Lewis, Lynette via phone (229) 333-5886.

Contact Information

Primary practice address
200 Georgia Ave Valdosta GA 31698-3843
Phone: (229) 219-3205
Fax: (229) 249-2791
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Lynette
Phone: (229) 333-5886

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE010386 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1083132484
LBN Legal business name Valdosta State University
DBA Doing business as <Unavail>
Authorized official Lewis, Lynette
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2017
Last updated Sep 19th, 2025 - about last year

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 1083132484 NPPES
Other 2170766 PK

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