| NPI | 1972523629 |
|---|---|
| Doing Business As | BLUEWELLS FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HAROLD WELLS President, Owner, PIC, AO 304-589-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV MP0552305) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2016-03-17 |