OrganizationActive
Fayetteville State University
NPI 1528547718 · Clinic Pharmacy · Fayetteville, NC
Provider details
- NPI number
- 1528547718
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ieschecia Graham Allen, Executive Director(910) 672-2602
- License
- 04032 (NC)
Specialties & taxonomies
Suppliers
Practice location
1200 Murchison Road
Student Health Services
Fayetteville, NC 28301-4252
Phone: (910) 672-2602
Fax: (910) 500-6680
Approximate (ZIP-level) locationGet directions
Mailing address
1200 Murchison Road
Fayetteville, NC 28301-4252
Other names (DBA / former)
- Other name
- Student Health Services
Registry dates
- Enumerated
- 2018-08-09
- Last updated
- 2023-11-24
- Certified
- 2022-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.