# WELLS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Porter Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043070790
- **Authorized official:** PAULA WELLS (PRESIDENT)
- **Authorized official phone:** (620) 325-2671

## Contact information

- **Practice address:** 506 MAIN ST, NEODESHA, KS 66757-1739
- **Practice address phone:** (620) 325-2671
- **Practice address fax:** (620) 325-3326
- **Mailing address:** PO BOX 346, NEODESHA, KS 66757-0346
- **Mailing address phone:** (620) 325-2671
- **Mailing address fax:** (620) 325-3326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/20/2024
- **Last updated:** 03/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30003879970002 | — | KS |