Illinois State University

NPI #1952460388 in Normal, Illinois

Provider Information

NPI Number
1952460388
Entity Type
Organization
Organization Name
Illinois State University
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 8, 2006
Last Updated
Mar 23, 2021

Practice Location

Address
201 N. UNIVERSITY ST
City
Normal
ZIP Code
61790
Phone
(309) 438-8713

Authorized Official

Name
MARIE RUPERT, PHARMD
Title
PHARMACIST IN CHARGE
Phone
(309) 438-8713

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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