NPI | 1063682805 |
---|---|
Doing Business As | WELLNESS COMPOUNDING PHARMACY |
Entity Type | Organization |
Authorized Contact | ANGIE MEEKER President 541-301-1465 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: OR RP002452C0S) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2008-03-07 |
Last Update Date | 2018-07-19 |