Provider Demographics
NPI:1629394820
Name:BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA
Entity Type:Organization
Organization Name:BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA
Other - Org Name:UNIVERSITY OF GEORGIA COLLEGE OF PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SVEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OIE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:706-542-1914
Mailing Address - Street 1:UGA COLLEGE OF PHARMACY
Mailing Address - Street 2:250 WEST GREEN STREET
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30602-0001
Mailing Address - Country:US
Mailing Address - Phone:706-542-1914
Mailing Address - Fax:706-542-5269
Practice Address - Street 1:UGA COLLEGE OF PHARMACY
Practice Address - Street 2:240 GREEN STREET
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30602-0001
Practice Address - Country:US
Practice Address - Phone:706-542-1914
Practice Address - Fax:706-542-5269
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-13
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHSC007144333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy