Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Carbondale Clinic Pharmacy

Organization Pharmacist · NPI 1710043435

The Carbondale Clinic Pharmacy provides Pharmacist services in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
8

Practice location Address checks out

2601 W Main St Ste 101
Carbondale, IL 62901-1031 Not confirmed with CMS for 18 years — call before visiting
Phone: (618) 549-5361
Fax: (618) 549-5158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 0054-009512 (IL)
Pharmacist Taxonomy 183500000X · Licence 051-034485 (IL)
Pharmacist Taxonomy 183500000X · Licence 051-023018 (IL)
Pharmacy Technician Taxonomy 183700000X · Licence 049-083922 (IL)
Pharmacy Technician Taxonomy 183700000X · Licence 049-127699 (IL)
Pharmacy Technician Taxonomy 183700000X · Licence 049-173061 (IL)
Pharmacy Technician Taxonomy 183700000X · Licence 049-156580 (IL)
Pharmacy Technician Taxonomy 183700000X · Licence 049-169519 (IL)

Record details

NPI number1710043435
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe Carbondale Clinic, SC
Authorized official Allan Norman — Ceo · (618) 549-5361
NPI enumeratedDecember 28, 2006
Last updated in NPPESApril 30, 2008
Mailing address2601 W Main St, Suite 101, Carbondale, IL 62901-1031

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