| NPI | 1023395829 |
|---|---|
| Doing Business As | WELLSPRING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANDREW BEYERS President/COO, PIC 510-428-1559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 50814) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2023-02-23 |