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The Carbondale Clinic Pharmacy
Community/Retail Pharmacy in Carbondale, Illinois
NPI 1710043435

The Carbondale Clinic Pharmacy is a Community/Retail Pharmacy based in Carbondale, IL and is specialized in Community/Retail Pharmacy. The Carbondale Clinic Pharmacy practices in Carbondale, IL. The NPI Number for The Carbondale Clinic Pharmacy is 1710043435 and holds a License No. 051-034485 (Illinois).

The current practice location address for The Carbondale Clinic Pharmacy is 2601 W Main St, Carbondale, IL and can be reached out via phone at 618-549-5361 and via fax at 618-549-5158.

Location: 2601 W Main St, Carbondale, IL, 62901-1031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710043435
Provider Name
The Carbondale Clinic Pharmacy
Credential
Provider Entity Type
Organization
Address
2601 W Main St, Carbondale, IL, 62901-1031
Phone Number
618-549-5361
Fax Number
618-549-5158
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1454014 01 IL NABP
1296860001 01 IL MEDICARE LEGACY
institution
Provider Business Practice Location Address Details
Address
2601 W Main St
City
Carbondale
State
Illinois
Zip
62901-1031
Phone Number
618-549-5361
Fax Number
618-549-5158
person
Provider Business Mailing Address Details
Address
2601 W Main St
City
Carbondale
State
Illinois
Zip
62901-1031
Phone Number
618-549-5361
Fax Number
618-549-5158
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
049-083922 (Illinois)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacy Technician
Speciality
-
Taxonomy
183700000X
License No.
051-023018 (Illinois)
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
051-034485 (Illinois)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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