National Provider Identifier Database

BOARD OF TRUSTEES FOR EASTERN ILLINOIS UNIVERSITY
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.


Contact Information

BOARD OF TRUSTEES FOR EASTERN ILLINOIS UNIVERSITY
1102 HUMAN SERVICES BUILDING
600 LINCOLN AVE
CHARLESTON, IL61920
Phone: 217-581-7779
Fax: 217-581-7780
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for BOARD OF TRUSTEES FOR EASTERN ILLINOIS UNIVERSITY

NPI Number 1457434532
Legal business name
LBN
BOARD OF TRUSTEES FOR EASTERN ILLINOIS UNIVERSITY
Authorized official AMY MALMEN - (PHARM SUPV)
Entity Organization
Organization subpart No
Enumeration date 10/23/2006
Last updated 03/01/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 054017107
  • Other: 2018991 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for BOARD OF TRUSTEES FOR EASTERN ILLINOIS UNIVERSITY

There are currently no reviews for BOARD OF TRUSTEES FOR EASTERN ILLINOIS UNIVERSITY


NPIdb - Home
v2.201