Organization
CARLE FOUNDATION HOSPITAL
Active
Other names
Carle RX Express
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E TONKINSON JR. (CHIEF FINANCIAL OFFICER)
(217) 383-3441
Entity
Organization
Contact information
Practice address
311 W FAIRCHILD ST, SUITE B, DANVILLE, IL 61832-3876
(217) 431-7975
(217) 431-7979
Mailing address
611 W PARK ST, URBANA, IL 61801-2500
(217) 326-2906
(217) 326-2996
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054012046
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1448679
NABP ID NUMBER
IL
Enumeration date
01/25/2007
Last updated
02/10/2009
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