Provider Demographics
NPI:1053404723
Name:AUBURN UNIVERSITY
Entity type:Organization
Organization Name:AUBURN UNIVERSITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEAN AND PROFESSOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSWELL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D, BCPP
Authorized Official - Phone:334-844-8348
Mailing Address - Street 1:100 CENTERVIEW DRIVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209
Mailing Address - Country:US
Mailing Address - Phone:205-978-9022
Mailing Address - Fax:
Practice Address - Street 1:100 CENTERVIEW DRIVE
Practice Address - Street 2:SUITE 210
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209
Practice Address - Country:US
Practice Address - Phone:205-978-9022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center