Board of Trustees for Eastern Illinois University
Board of Trustees for Eastern Illinois University is a Pharmacy in Charleston, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1102 Human Services Bldg 600 Lincoln AveCharleston, IL 61920
Phone: (217) 581-7779
Fax: (217) 581-7780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic Pharmacy (primary) | Taxonomy 3336C0002X · Licence 054017107 (IL) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1457434532 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amy Malmen — Pharm Supv · (217) 581-7779 |
| Other names | Eastern Il University Pharmacy |
| NPI enumerated | October 23, 2006 |
| Last updated in NPPES | March 1, 2017 |
| Mailing address | 1102 Human Services Building, 600 Lincoln Ave, Charleston, IL 61920 |
Other providers in Charleston
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5 Guys Rx II LLC
1 W Lincoln Ave, Charleston, IL 61920 · (217) 512-2816
-
Highland Park Cvs LLC
501 W Lincoln, Charleston, IL 61920-2442 · (217) 345-7069