Board Of Trustees For Eastern Illinois University
Clinic Pharmacy
1102 Human Services Building, 600 Lincoln Ave, Charleston
Illinois, 61920
217-581-7779 217-581-7780
Board Of Trustees For Eastern Illinois University is a Clinic Pharmacy in Charleston, Illinois. It is located at 1102 Human Services Building, 600 Lincoln Ave, Charleston and it's customer support contact number is 217-581-7779. The authorized person of Board Of Trustees For Eastern Illinois University is Amy Malmen, RPH who is Pharm Supv of the pharmacy and his contact number is 217-581-7779. Active license number of Board Of Trustees For Eastern Illinois University is 054017107 for Clinic Pharmacy in Illinois.
Board Of Trustees For Eastern Illinois University is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Board Of Trustees For Eastern Illinois University type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Board Of Trustees For Eastern Illinois University |
| Type: | Clinic Pharmacy |
| Location: | 1102 Human Services Building, 600 Lincoln Ave, Charleston,
Illinois, 61920 |
| Phone: | 217-581-7779 |
| Fax: | 217-581-7780 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Amy Malmen |
| Credentials: | RPH |
| Position: | Pharm Supv |
| Contact Number: | 217-581-7779 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1457434532 |
| NPI Enumeration Date: | 23 Oct, 2006 |
| NPI Last Update On: | 01 Mar, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Board Of Trustees For Eastern Illinois University are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | 054017107 | Illinois | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2018991 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1102 Human Services Building, 600 Lincoln Ave
Charleston, Illinois |
| Zip: | 61920 |
| Phone Number: | 217-581-7779 |
| Fax Number: | 217-581-7780 |
Patients can reach Board Of Trustees For Eastern Illinois University at
1102 Human Services Building, 600 Lincoln Ave, Charleston, Illinois or can
call on customer care at 217-581-7779.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.