| NPI | 1659317147 |
|---|---|
| Doing Business As | WELLS PHARMACY, INC. |
| Entity Type | Organization |
| Authorized Contact | YI YI SUN President 909-949-6889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY54450) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2016-10-21 |