| NPI | 1063657690 |
|---|---|
| Doing Business As | AGEWELL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AMRO AMER Owner 805-733-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA 49116) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NY 029968) |
| 333600000X Pharmacy (Licence: FL PH22628) | |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2016-04-06 |