Organization · Type 2 NPI
Board of Trustees for Eastern Illinois University
Clinic Pharmacy · Charleston, IL
NPI number
1457434532
Active
Practice location
1102 Human Services Building, 600 Lincoln Ave
Charleston, IL 61920
Fax (217) 581-7780
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Clinic Pharmacy Primary | 3336C0002X | 054017107 (IL) |
Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
About NPI 1457434532
Board of Trustees for Eastern Illinois University's National Provider Identifier is 1457434532, issued on Oct 23, 2006. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Charleston, IL. The record was last updated on Mar 1, 2017.