Glen Ed Pharmacy, Llc
LBN: Glen Ed Pharmacy Llc
Glen Ed Pharmacy, Llc is an health care organization with primary practice located at 1 Ginger Creek Mdws , Glen Carbon IL 62034-3508. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Glen Ed Pharmacy Llc can be contacted via phone (618) 655-9898, or through Rieck, David via phone (314) 542-0022.
Contact Information
Primary practice address
1 Ginger Creek Mdws
Glen Carbon IL 62034-3508
Phone: (618) 655-9898
Fax: (618) 655-0230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054.018063 | Illinois |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1699092122 |
|---|---|
| LBN Legal business name | Glen Ed Pharmacy Llc |
| DBA Doing business as | Glen Ed Pharmacy, Llc |
| Authorized official | Rieck, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 23rd, 2010 |
| Last updated | Mar 12th, 2013 - about 11 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699092122 | NPPES |
| Other | 1484308 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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