# WELLDYNE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104909639
- **Authorized official:** SUSAN C. CAIN (COO)
- **Authorized official phone:** (303) 645-2613

## Contact information

- **Practice address:** 7472 S TUCSON WAY, SUITE 100-B, CENTENNIAL, CO 80112-4452
- **Practice address phone:** (800) 641-8475
- **Practice address fax:** (800) 530-8589
- **Mailing address:** 7472 S TUCSON WAY, SUITE 100-B, CENTENNIAL, CO 80112-4452
- **Mailing address phone:** (800) 641-8475
- **Mailing address fax:** (800) 530-8589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 370000059 | CO | Yes |
| 3336S0011X | Specialty Pharmacy | 370000059 | CO | — |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 02/13/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03001245 | — | CO |
| 01 | — | 0613302 | NCPDP | — |
| 05 | — | 7C0059 | — | SC |