Organization
CARLINVILLE AREA HOSPITAL ASSOCIATION
Active
Other names
Carlinville Area Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BURNSIDE (PRESIDENT/CEO)
(217) 854-3141
Entity
Organization
Contact information
Practice address
20733 N. BROAD S, CARLINVILLE, IL 62626
(217) 854-3141
(217) 854-9958
Mailing address
20733 N. BROAD ST, CARLINVILLE, IL 62626
(217) 854-3141
(217) 854-9958
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
059002948
IL
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1433224
NABP NUMBER
IL
05
—
370345239001
—
IL
Enumeration date
04/23/2007
Last updated
12/11/2024
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