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Organization
WELLRX LLC
Active
Organization
WELLRX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT LUCKOW PHARMD (OWNER/MANAGER)
(877) 629-4446
Entity
Organization
Contact information
Practice address
200 E WILLOW AVE, STE 100, WHEATON, IL 60187-5463
(877) 629-4446
(877) 599-0139
Mailing address
200 E WILLOW AVE, STE 100, WHEATON, IL 60187-5463
(877) 629-4446
(877) 599-0139
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
54020427
IL
3336C0003X
Community/Retail Pharmacy
054002067
IL
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
54020427
IL
3336S0011X
Specialty Pharmacy
54020427
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157822
PK
—
05
—
36-2789201-0003
—
IL
Enumeration date
05/01/2007
Last updated
03/14/2018
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