NPI | 1609166198 |
---|---|
Doing Business As | ALL WELL PHARMACY |
Entity Type | Organization |
Authorized Contact | SUMANTH KUMAR EDARA President 904-779-6990 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25397) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2011-04-18 |
Last Update Date | 2022-09-28 |