Wellcreek Pharmacy-Bethalto

LBN: 5 Guys Rx Llc
Wellcreek Pharmacy-Bethalto is an health care organization with primary practice located at 333 W Bethalto Dr Ste B , Bethalto IL 62010-1909. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 5 Guys Rx Llc can be contacted via phone (618) 377-5356, or through Rozene, Tal via phone (217) 994-1496.

Contact Information

Primary practice address
333 W Bethalto Dr Ste B Bethalto IL 62010-1909
Phone: (618) 377-5356
Fax: (855) 380-3588
Website:
Map and Directions
Authorized official contact:
Name: Rozene, Tal
Phone: (217) 994-1496

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054.019904 Illinois

Profile Details

NPI number 1023464187
LBN Legal business name 5 Guys Rx Llc
DBA Doing business as Wellcreek Pharmacy-Bethalto
Authorized official Rozene, Tal
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2016
Last updated Dec 1st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023464187 NPPES
Illinois MEDICAID 364151335001
Illinois Other 2159604

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