Southern Illinois University Student
Southern Illinois University Student is an Institutional Pharmacy in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
374 E Grand AveCarbondale, IL 62901-3962
Phone: (618) 453-4417
Fax: (618) 453-4672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Institutional Pharmacy (primary) | Taxonomy 3336I0012X · Licence 054.017089 (IL) |
|---|
Record details
| NPI number | 1124064035 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Chaney — Pharmacy Director · (618) 453-4417 |
| Other names | Southern Illinois University Student |
| NPI enumerated | June 20, 2006 |
| Last updated in NPPES | April 11, 2016 |
| Mailing address | 374 E Grand Ave, Carbondale, IL 62901-3962 |
Other providers in Carbondale
-
Southern Illinois Hospital Services
405 W Jackson St, Carbondale, IL 62901-1462 · (618) 549-0721