| NPI | 1992726962 |
|---|---|
| Doing Business As | BYU-IDAHO STUDENT HEALTH CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHAWN ANDREASEN Pchy Dir 208-496-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: ID 614RP) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2017-04-18 |