| NPI | 1790034460 |
|---|---|
| Doing Business As | WELLS PHARMACY NETWORK LLC |
| Entity Type | Organization |
| Authorized Contact | CLINT MYERS Pharmacist In Charge 731-882-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 5058) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-10-19 |