Provider Demographics
NPI:1356120026
Name:GET WELL RX INC
Entity type:Organization
Organization Name:GET WELL RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMD
Authorized Official - Prefix:
Authorized Official - First Name:EMANUEL OLEG
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMHAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-742-8800
Mailing Address - Street 1:2324 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-4370
Mailing Address - Country:US
Mailing Address - Phone:718-777-9355
Mailing Address - Fax:718-728-1704
Practice Address - Street 1:2324 BROADWAY
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-4370
Practice Address - Country:US
Practice Address - Phone:718-777-9355
Practice Address - Fax:718-728-1704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy