Glen Ed Pharmacy LLC
NPI #1699092122 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1699092122
- Entity Type
- Organization
- Organization Name
- Glen Ed Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 23, 2010
- Last Updated
- Mar 12, 2013
Practice Location
- Address
- 1 GINGER CREEK MDWS
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-3508
- Phone
- (618) 655-9898
Authorized Official
- Name
- DAVID RIECK
- Title
- OWNER
- Phone
- (314) 542-0022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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