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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 |
| NPI # | 1669512323 |
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| LBN Legal business name | BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS | ||||||||||||||||
| Authorized official | KRISTINE VANKUIKEN - (PHARMACY TECHNICIAN SPECIALIST) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 02/08/2007 | ||||||||||||||||
| Last updated | 03/07/2023 - About 3 years ago | ||||||||||||||||
| Identifiers |
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BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS