EASTERN IL UNIVERSITY PHARMACY
NPI 1457434532
Pharmacy - Clinic Pharmacy in Charleston, IL

Active since October 23, 2006
1102 HUMAN SERVICES BUILDING, 600 LINCOLN AVE, CHARLESTON, IL 61920(217) 581-7779(217) 581-7780 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eastern Il University Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN IL UNIVERSITY PHARMACY (NPI 1457434532) is a healthcare organization registered as a clinic pharmacy in Charleston, Illinois and active in the NPI registry since October 2006. The organization lists Amy Malmen, Pharm Supv, as its authorized official.

NPPES Registry Identity

NPI1457434532
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameBOARD OF TRUSTEES FOR EASTERN ILLINOIS UNIVERSITY
Location Address1102 HUMAN SERVICES BUILDING, 600 LINCOLN AVECharleston, IL 61920
Mailing Address1102 Human Services Building, 600 Lincoln AveCharleston, IL 61920 · (217) 581-7779 · Fax (217) 581-7780
Fax(217) 581-7780
Organization SubpartNo
Authorized OfficialAmy MalmenPharm Supv · (217) 581-7779
Enumeration DateOctober 23, 2006
Last NPPES UpdateMarch 1, 2017
NPI 1457434532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License Licensed in IL · 054017107
Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Also ListedPharmacyTaxonomy 333600000X
1102 HUMAN SERVICES BUILDING, Charleston, IL 61920

Other Names 1

Doing Business AsEastern Il University Pharmacy

Other Identifiers 1

Other2018991Pk

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457434532, enumerated as an "organization" on October 23, 2006.

The provider is located at 1102 HUMAN SERVICES BUILDING 600 LINCOLN AVE CHARLESTON, IL 61920 and the phone number is (217) 581-7779.

Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.