MEDICARE: GETWELL RX OF EDMOND, LLC

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
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1588510408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GETWELL RX OF EDMOND, LLC

Provider Business Mailing Address
First Line	:	1020 NW 192ND ST STE A
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73012-4296
Country	:	US
Telephone Number	:	405-861-8800
Fax Number	:	405-861-8801

Provider Business Practice Location Address
First Line	:	1020 NW 192ND ST STE A
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73012-4296
Country	:	US
Telephone Number	:	405-861-8800
Fax Number	:	405-861-8801

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTOPHER BOYD HILL
Credential	:	PHARM D
Telephone Number	:	501-422-6800

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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