Organization
CARLE FOUNDATION HOSPITAL
Active
Other names
Carle Rx Express
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY PUSZKIEWICZ (DIRECTOR OF RX EXPRESS)
(217) 383-4905
Entity
Organization
Contact information
Practice address
1818 E WINDSOR RD, URBANA, IL 61802-9566
(217) 255-9790
(217) 255-9791
Mailing address
611 W PARK ST, URBANA, IL 61801-2500
(217) 326-2913
(217) 326-2996
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
054016488
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1482253
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/07/2008
Last updated
05/31/2011
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