Organization
CARLE BROMENN MEDICAL CENTER
Active
Other names
The Atrium Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ARON KLEIN (VICE PRESIDENT FINANCE)
(309) 268-2410
Entity
Organization
Contact information
Practice address
1304 FRANKLIN AVE, NORMAL, IL 61761-3558
(309) 268-5797
(309) 268-5524
Mailing address
1304 FRANKLIN AVE, NORMAL, IL 61761-3558
(309) 268-5797
(309) 268-5524
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054016773
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123915
PK
—
Enumeration date
12/30/2005
Last updated
11/18/2020
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