Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glen ED Pharmacy LLC

Organization Community/Retail Pharmacy · NPI 1699092122

Glen ED Pharmacy LLC is a Community/Retail Pharmacy in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Ginger Creek Mdws
Glen Carbon, IL 62034-3508
Phone: (618) 655-9898
Fax: (618) 655-0230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 054.018063 (IL)
Compounding Pharmacy Taxonomy 3336C0004X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1699092122
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Rieck — Owner · (314) 542-0022
Other names Glen Ed Pharmacy, Llc
NPI enumeratedApril 23, 2010
Last updated in NPPESMarch 12, 2013
Mailing address1 Ginger Creek Mdws, Glen Carbon, IL 62034-3508

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