| NPI | 1063527091 |
|---|---|
| Doing Business As | WELLMANS PHARMACY #2 |
| Entity Type | Organization |
| Authorized Contact | PETER LO Owner 415-788-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY37333) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-07-19 |