Southern Illinois University Student
Institutional Pharmacy
374 E Grand Ave, Carbondale
Illinois, 62901-3962
618-453-4417 618-453-4672
Southern Illinois University Student is not a DME supplier for medicare equipments and products.
Southern Illinois University Student is a Institutional Pharmacy in Carbondale, Illinois. It is located at 374 E Grand Ave, Carbondale and it's customer support contact number is 618-453-4417. The authorized person of Southern Illinois University Student is Susan Chaney, RPH who is Pharmacy Director of the pharmacy and his contact number is 618-453-4417. Active license number of Southern Illinois University Student is 054.017089 for Institutional Pharmacy in Illinois.
Southern Illinois University Student is 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 patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Southern Illinois University Student 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: | Southern Illinois University Student |
| Type: | Institutional Pharmacy |
| Location: | 374 E Grand Ave, Carbondale, Illinois, 62901-3962 |
| Phone: | 618-453-4417 |
| Fax: | 618-453-4672 |
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: | Susan Chaney |
| Credentials: | RPH |
| Position: | Pharmacy Director |
| Contact Number: | 618-453-4417 |
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: | 1124064035 |
| NPI Enumeration Date: | 20 Jun, 2006 |
| NPI Last Update On: | 11 Apr, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Illinois University Student are as mentioned below.
| Specialization | License Number | State | Status | |
| Institutional Pharmacy | 054.017089 | Illinois | Primary | |
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 |
| 2016773 | 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: | 374 E Grand Ave, Carbondale, Illinois |
| Zip: | 62901-3962 |
| Phone Number: | 618-453-4417 |
| Fax Number: | 618-453-4672 |
Patients can reach Southern Illinois University Student at
374 E Grand Ave, Carbondale, Illinois or can
call on customer care at 618-453-4417.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.