Eastern Il University Pharmacy

LBN: Board Of Trustees For Eastern Illinois University
Eastern Il University Pharmacy is an health care organization with primary practice located at 1102 Human Services Building 600 Lincoln Ave, Charleston IL 61920. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Board Of Trustees For Eastern Illinois University can be contacted via phone (217) 581-7779, or through Malmen, Amy via phone (217) 581-7779.

Contact Information

Primary practice address
1102 Human Services Building 600 Lincoln Ave Charleston IL 61920
Phone: (217) 581-7779
Fax: (217) 581-7780
Website:
Map and Directions
Authorized official contact:
Name: Malmen, Amy RPH
Phone: (217) 581-7779

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X 054017107 Illinois

Profile Details

NPI number 1457434532
LBN Legal business name Board Of Trustees For Eastern Illinois University
DBA Doing business as Eastern Il University Pharmacy
Authorized official Malmen, Amy RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Mar 1st, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457434532 NPPES
Other 2018991 PK

Popular Providers