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
- City
- Charleston
- State
- Illinois
- 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 Pharmacy — Clinic Pharmacy |
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