Provider Demographics
NPI:1851451090
Name:DUKE UNIVERSITY
Entity Type:Organization
Organization Name:DUKE UNIVERSITY
Other - Org Name:DUKE STUDENT HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARM MGR
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMOND
Authorized Official - Suffix:
Authorized Official - Credentials:BS PHARM
Authorized Official - Phone:919-684-0027
Mailing Address - Street 1:PO BOX 2899
Mailing Address - Street 2:DUMC
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27715-2899
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:DUKE CLINIC TRENT DR
Practice Address - Street 2:RM 00377
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-0002
Practice Address - Fax:919-681-5051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC30553336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3421308OtherNCPDP PROVIDER IDENTIFICATION NUMBER