Provider Demographics
NPI:1801816657
Name:AUBURN UNIVERSITY
Entity Type:Organization
Organization Name:AUBURN UNIVERSITY
Other - Org Name:AUBURN UNIVERSITY PHARMACEUTICAL CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEAN AND PROFESSOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSWELL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D, BCPP
Authorized Official - Phone:334-844-8348
Mailing Address - Street 1:2155 WALKER BUILDING
Mailing Address - Street 2:
Mailing Address - City:AUBURN UNIVERSITY
Mailing Address - State:AL
Mailing Address - Zip Code:36849-5501
Mailing Address - Country:US
Mailing Address - Phone:334-844-4099
Mailing Address - Fax:334-844-4019
Practice Address - Street 1:2155 WALKER BUILDING
Practice Address - Street 2:
Practice Address - City:AUBURN UNIVERSITY
Practice Address - State:AL
Practice Address - Zip Code:36849-5501
Practice Address - Country:US
Practice Address - Phone:334-844-4099
Practice Address - Fax:334-844-4019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL130991835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Multi-Specialty