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A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1457434532 |
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| LBN Legal business name | BOARD OF TRUSTEES FOR EASTERN ILLINOIS UNIVERSITY | ||||||||
| Authorized official | AMY MALMEN - (PHARM SUPV) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/23/2006 | ||||||||
| Last updated | 03/01/2017 - About 9 years ago | ||||||||
| Identifiers |
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BOARD OF TRUSTEES FOR EASTERN ILLINOIS UNIVERSITY