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GLEN ED PHARMACY LLC

Medical Equipment Supplier Yellow Pages

Glen Carbon, Illinois

Provider NPI: 1699092122

Organization Information:
Organization Name:  GLEN ED PHARMACY LLC


Practice Location:
1 GINGER CREEK MDWS  GLEN CARBON, IL 62034 US
Tel: 618-655-9898  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N3336L0003XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
IL054.018063

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER148430801
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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