Whalio Doctors

NPI 1699092122

Glen Ed Pharmacy LLC

Organisation Community/Retail Pharmacy Glen Carbon, IL

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
Suppliers Taxonomy 3336C0003X Licence 054.018063 (IL)
Compounding Pharmacy
Suppliers Taxonomy 3336C0004X
Long Term Care Pharmacy
Suppliers Taxonomy 3336L0003X

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.