Healthcare Provider Details

I. General information

NPI: 1952347445
Provider Name (Legal Business Name): OSU STUDENT HEALTH CENTER PHCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 09/19/2025
Certification Date: 09/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 MILLIKIN RD
COLUMBUS OH
43210-2200
US

IV. Provider business mailing address

1875 MILLIKIN RD
COLUMBUS OH
43210-2200
US

V. Phone/Fax

Practice location:
  • Phone: 614-292-0125
  • Fax: 614-292-4790
Mailing address:
  • Phone: 614-292-4025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License NumberPMY.020133600-03
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PHILLIP ANDERSON
Title or Position: DIR OF PHCY
Credential:
Phone: 614-292-4592