NPI | 1689357659 |
---|---|
Doing Business As | WELLSPRING PHARMACY LTC |
Entity Type | Organization |
Authorized Contact | ANDREW BEYERS CEO 510-428-1559 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2023-08-08 |
Last Update Date | 2023-08-17 |