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
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1356120026
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	:	11106-4370
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	:	11106-4370
Country	:	US
Telephone Number	:	718-777-9355
Fax Number	:	718-728-1704

Authorized Official
Title or Position	:	PHARMD
Name	:	EMANUEL OLEG SIMHAYEV
Credential	:
Telephone Number	:	917-742-8800

Provider Enumeration Date	:	09/22/2023
Last Update Date	:	09/22/2023

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Directions to “GET WELL RX INC ” Practice Location

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