| NPI | 1104978584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELLISA MOOK Director Well Span Pharmacy Inc. 717-851-5895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP481364) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP481364) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |