NPI | 1790054773 |
---|---|
Doing Business As | WELLS PHARMACY |
Entity Type | Organization |
Authorized Contact | ROBERT WILBUR President 561-793-1568 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH25799) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2011-12-21 |
Last Update Date | 2012-10-19 |