Board of Trustees for Eastern Illinois University

NPI #1457434532 in Charleston, Illinois

Provider Information

NPI Number
1457434532
Entity Type
Organization
Organization Name
Board of Trustees for Eastern Illinois University
Primary Specialty
Pharmacy - Clinic Pharmacy
Enumeration Date
Oct 23, 2006
Last Updated
Mar 1, 2017

Practice Location

Address
1102 HUMAN SERVICES BUILDING
Address 2
600 LINCOLN AVE
ZIP Code
61920
Phone
(217) 581-7779

Authorized Official

Name
AMY MALMEN, RPH
Title
PHARM SUPV
Phone
(217) 581-7779

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Clinic PharmacyClinic Pharmacy

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