Healthcare Provider Details

I. General information

NPI: 1801816657
Provider Name (Legal Business Name): AUBURN UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2155 WALKER BUILDING
AUBURN UNIVERSITY AL
36849-5501
US

IV. Provider business mailing address

2155 WALKER BUILDING
AUBURN UNIVERSITY AL
36849-5501
US

V. Phone/Fax

Practice location:
  • Phone: 334-844-4099
  • Fax: 334-844-4019
Mailing address:
  • Phone: 334-844-4099
  • Fax: 334-844-4019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number13099
License Number StateAL

VIII. Authorized Official

Name: DR. ROSWELL LEE EVANS
Title or Position: DEAN AND PROFESSOR
Credential: PHARM. D., BCPP
Phone: 334-844-8348