Byu Id Student Hlth Cntr Pchy
Clinic Pharmacy
179 Student Hlth Ctr, Rexburg
Idaho, 83460-0001
208-496-9330 208-496-9343
Byu Id Student Hlth Cntr Pchy is a Clinic Pharmacy in Rexburg, Idaho. It is located at 179 Student Hlth Ctr, Rexburg and it's customer support contact number is 208-496-9330. The authorized person of Byu Id Student Hlth Cntr Pchy is Shawn Andreasen, PHARMD RPH who is Pchy Dir of the pharmacy and his contact number is 208-496-9330. Active license number of Byu Id Student Hlth Cntr Pchy is 614RP for Clinic Pharmacy in Idaho.
Byu Id Student Hlth Cntr Pchy is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Byu Id Student Hlth Cntr Pchy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Byu Id Student Hlth Cntr Pchy |
| Type: | Clinic Pharmacy |
| Location: | 179 Student Hlth Ctr, Rexburg,
Idaho, 83460-0001 |
| Phone: | 208-496-9330 |
| Fax: | 208-496-9343 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Shawn Andreasen |
| Credentials: | PHARMD RPH |
| Position: | Pchy Dir |
| Contact Number: | 208-496-9330 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1992726962 |
| NPI Enumeration Date: | 22 Jul, 2006 |
| NPI Last Update On: | 18 Apr, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Byu Id Student Hlth Cntr Pchy are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | 614RP | Idaho | Primary | |
| Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2020561 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 179 Student Hlth Ctr,
Rexburg, Idaho |
| Zip: | 83460-0001 |
| Phone Number: | 208-496-9330 |
| Fax Number: | 208-496-9343 |
Patients can reach Byu Id Student Hlth Cntr Pchy at
179 Student Hlth Ctr, Rexburg, Idaho or can
call on customer care at 208-496-9330.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.