NPI 1699092122
Glen Ed Pharmacy LLC
Practice location
- Address
- 1 Ginger Creek Mdws, Glen Carbon, IL 62034-3508
- Phone
- (618) 655-9898
- Fax
- (618) 655-0230
Authorised official
- Name
- David Rieck
- Title
- Owner
- Phone
- (314) 542-0022
Registered specialties (3)
Community/Retail Pharmacy
Primary
Compounding Pharmacy
Long Term Care Pharmacy
Registry record
- NPI
- 1699092122
- Entity type
- Organization
- NPI issued
- 23 Apr 2010
- Record last updated
- 12 Mar 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.