Southern Illinois University Student in Carbondale - Institutional Pharmacy
Southern Illinois University Student - NPI 1124064035
Southern Illinois University Student is a Institutional Pharmacy in Carbondale, Illinois. Southern Illinois University Student practices all healthcare services and medical treatments related to Institutional Pharmacy. The NPI Number for Southern Illinois University Student is 1124064035. The last update date is 2016-04-11.
Southern Illinois University Student's current location address is 374 E Grand Ave, Carbondale, Illinois. You can contact this provider via phone number 6184534417 and fax number 6184534672. The mailing address for Southern Illinois University Student is 374 E Grand Ave, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois University Student |
|---|---|
| Address | 374 E Grand Ave, Carbondale, Illinois |
| Phone Number | 6184534417 |
| Fax Number | 6184534672 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACY D |
|---|---|
| Authorized Official Name | Chaney Susan |
| Credentials | RPH |
| Telephone Number | 6184534417 |
NPI Number Detail
| NPI Number | 1124064035 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2016-04-11 |
Provider Mailing Address Detail
| Address | 374 E Grand Ave |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629013962 |
| Phone Number | 6184534417 |
| Fax Number | 6184534672 |
Provider's Primary Taxonomy Detail
| Speciality | Institutional Pharmacy |
|---|---|
| Taxonomy | 3336I0012X |
| Licence No | 54.017089 |
|
Definition: A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patie |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2016773 | PK |
Post Comment/ Review Below
What is the Southern Illinois University Student's unique identification number?
The Southern Illinois University Student has been assigned the NPI (National Provider Identifier) Number 1124064035 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Southern Illinois University Student's facilities are geographically located?
The facilities of Southern Illinois University Student are physically situated at the following location: 374 E Grand Ave, Carbondale, IL, 629013962.
What is the Southern Illinois University Student's specialty and taxonomy code?
The Southern Illinois University Student's specialty is Institutional Pharmacy, and the corresponding taxonomy code is 3336I0012X.
When was the Southern Illinois University Student's 1124064035 issued?
The Southern Illinois University Student's 1124064035 was issued on 2006-06-20.
When was the information pertaining to Southern Illinois University Student most recently updated or revised?
The details related to Southern Illinois University Student, including its address, specialty, and other relevant information, were last updated or revised on 2016-04-11.
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