NPI | 1114478500 |
---|---|
Doing Business As | WELLCREEK PHARMACY |
Entity Type | Organization |
Authorized Contact | TAL ROZENE President 217-994-1496 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.020171) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2016-10-20 |
Last Update Date | 2024-08-14 |