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Organization
INDIANA WELLNESS RX LLC
Active
Organization
INDIANA WELLNESS RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRILL VESSELOV (OWNER)
(930) 888-3990
Entity
Organization
Contact information
Practice address
215 W 4TH ST STE 1, MISHAWAKA, IN 46544-1917
(574) 544-0102
Mailing address
215 W 4TH ST STE 1, MISHAWAKA, IN 46544-1917
(574) 544-0102
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
07/11/2023
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