Organization
5 GUYS RX II LLC
Active
Other names
Wellcreek Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAL ROZENE (PRESIDENT)
(217) 994-1496
Entity
Organization
Contact information
Practice address
1 W LINCOLN AVE, CHARLESTON, IL 61920
(217) 512-2816
(844) 512-2573
Mailing address
913 NORTHWOOD DR, EFFINGHAM, IL 62401-5206
(217) 512-2816
(217) 512-2818
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.020171
IL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168642
PK
—
Enumeration date
10/20/2016
Last updated
08/14/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up