| NPI | 1295891174 |
|---|---|
| Doing Business As | WELLENS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EDWARD GLAZAROV President 917-613-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 023739) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-06-14 |