Organization · Type 2 NPI

Carle Foundation Hospital

Pharmacy · Mattoon, IL

NPI number 1073668836 Active

Practice location

200 Lerna Rd S
Mattoon, IL 61938-9388

Call (217) 258-3616 Map

Fax (217) 258-3617

Mailing address

611 W Park St
Urbana, IL 61801-2500

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

15 other providers at this address

Other pharmacy providers in Mattoon

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NPI record

NPI: 1073668836
Entity type: Organization (Type 2)
Issued: Jan 24, 2007
Last updated: Apr 20, 2008
Status: Active
Subpart: Yes of Carle Foundation Hospital

Other names

<unavail>
Carle RX Express · doing business as

Authorized official

Mr. Robert E Tonkinson
Chief Financial Officer
(217) 383-3441

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073668836

Carle Foundation Hospital's National Provider Identifier is 1073668836, issued on Jan 24, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Mattoon, IL. The record was last updated on Apr 20, 2008.