NPI | 1023464187 |
---|---|
Doing Business As | WELLCREEK PHARMACY-BETHALTO |
Entity Type | Organization |
Authorized Contact | TAL ROZENE Pharmacist/Owner 217-994-1496 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.019904) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2016-05-09 |
Last Update Date | 2023-12-01 |