| NPI | 1104982404 |
|---|---|
| Doing Business As | MEDWELLRX |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY S DECKER President 402-592-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NE 269) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2012-01-11 |