Illinois State University in Normal - Community/retail Pharmacy
Illinois State University - NPI 1952460388
Illinois State University is a Community/retail Pharmacy in Normal, Illinois. Illinois State University practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Illinois State University is 1952460388. The last update date is 2021-03-23.
Illinois State University's current location address is 201 N. University St, Normal, Illinois. You can contact this provider via phone number 3094388713 and fax number 3094387569. The mailing address for Illinois State University is 201 N. University St, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Illinois State University |
|---|---|
| Address | 201 N. University St, Normal, Illinois |
| Phone Number | 3094388713 |
| Fax Number | 3094387569 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Rupert Marie |
| Credentials | PHARMD |
| Telephone Number | 3094388713 |
NPI Number Detail
| NPI Number | 1952460388 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2021-03-23 |
Provider Mailing Address Detail
| Address | 201 N. University St |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 61790 |
| Phone Number | 3094388713 |
| Fax Number | 3094387569 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 54017028 |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2021237 | PK | ||
| 1999303700 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Illinois State University by the Centers for Medicare & Medicaid Services?
The Illinois State University has been assigned the NPI (National Provider Identifier) 1952460388 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Illinois State University is physically located?
The Illinois State University is physically situated at the following address: 201 N. University St, Normal, IL, 61790.
What is Illinois State University's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Illinois State University is Community/retail Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952460388 to Illinois State University?
The Centers for Medicare & Medicaid Services originally issued the 1952460388 to Illinois State University on 2006-12-08.
When was the information pertaining to Illinois State University most recently updated or revised?
The details related to Illinois State University, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-23.