Organization
CARLE FOUNDATION HOSPITAL
Active
Parent organization
CARLE FOUNDATION HOSPITAL
Other names
Carle RX Express
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARLE FOUNDATION HOSPITAL
Authorized official
MR. ROBERT E TONKINSON JR. (CHIEF FINANCIAL OFFICER)
(217) 383-3441
Entity
Organization
Contact information
Practice address
200 LERNA RD S, MATTOON, IL 61938-9388
(217) 258-3616
(217) 258-3617
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
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1475602
NABP ID NUMBER
IL
Enumeration date
01/24/2007
Last updated
04/20/2008
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