BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1855 W Taylor St Room 1071 Mc 884
Chicago, IL 60612
312-996-6540
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | IL | 054.017117 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
STATE PHARMACY LICENSE | 054-017117 | IL | OTHER |
NCPDP NUMBER | 1464205 | IL | OTHER |
STATE CONTROLLED SUBSTANC | 032-005937 | IL | OTHER |
DEA NUMBER | BU1635917 | IL | OTHER |