| NPI | 1134541691 |
|---|---|
| Doing Business As | WELLNESS PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | THAI VO Manager 702-912-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV PH03127) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2018-07-19 |