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NPI Code Detail

MEDICARE: GET WELL RX INC

MEDICARE: GET WELL RX INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy
2333600000XPharmacy

General Provider Information

NPI Number : 1275031262
Entity Type Code : Organization
Provider Name (Legal Business Name) : GET WELL RX INC
Provider Business Mailing Address
First Line : 2324 BROADWAY
Second Line :
City : ASTORIA
State : NY
Zip : 11106-4139
Country : US
Telephone Number : 718-777-9355
Fax Number : 718-728-1704
Provider Business Practice Location Address
First Line : 2324 BROADWAY
Second Line :
City : ASTORIA
State : NY
Zip : 11106-4139
Country : US
Telephone Number : 718-777-9355
Fax Number : 718-728-1704
Authorized Official
Title or Position : PRESIDENT
Name : EMANUEL SIMHAYEV
Credential :
Telephone Number : 718-777-9355
Provider Enumeration Date : 01/25/2018
Last Update Date : 01/25/2018

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Directions to “GET WELL RX INC ” Practice Location

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