institution
University Of Illinois Scb Pharmacy
Clinic Pharmacy in Chicago, Illinois
NPI 1336289016

University Of Illinois Scb Pharmacy is a Clinic Pharmacy based in Chicago, IL and is specialized in Clinic Pharmacy. University Of Illinois Scb Pharmacy practices in Chicago, IL. The NPI Number for University Of Illinois Scb Pharmacy is 1336289016 and holds a License No. 054.017117 (Illinois).

The current practice location address for University Of Illinois Scb Pharmacy is 1009 S Wood St, Chicago, IL and can be reached out via phone at 312-996-6540 and via fax at 312-276-4800.

Location: 1009 S Wood St, Chicago, IL, 60612-4325
institution
Provider Profile Details
NPI Number
1336289016
Provider Name
University Of Illinois Scb Pharmacy
Credential
Provider Entity Type
Organization
Address
1009 S Wood St, Chicago, IL, 60612-4325
Phone Number
312-996-6540
Fax Number
312-276-4800
Provider Enumeration Date
02/08/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
054-017117 01 IL STATE PHARMACY LICENSE
032-005937 01 IL STATE CONTROLLED SUBSTANC
1464205 01 IL NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
1009 S Wood St
City
State
Zip
60612
Phone Number
312-996-6540
Fax Number
312-276-4800
person
Provider Business Mailing Address Details
Address
1009 S Wood St
City
State
Zip
60612
Phone Number
312-996-6540
Fax Number
312-276-4800
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
License No.
054.017117 (Illinois)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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