| NPI | 1861187833 |
|---|---|
| Doing Business As | BEWELL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DEMITRI DUKHOVNY Managing Member/CEO 858-218-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2024-01-23 |