| NPI | 1497867329 |
|---|---|
| Doing Business As | WELLMANS PHARMACY#1 |
| Entity Type | Organization |
| Authorized Contact | PETER LO Owner 415-362-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY34487) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-07-19 |