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Organization
WELLMANS PHARMACY INC
Active
Organization
WELLMANS PHARMACY INC
Active
Other names
WELLMANS PHARMACY#1
Organization subpart
No
Provider details
NPI number
Authorized official
PETER LO PHARMACIST (OWNER)
(415) 362-3622
Entity
Organization
Contact information
Practice address
1053 STOCKTON ST, SAN FRANCISCO, CA 94108-1109
(415) 362-3622
(415) 956-6233
Mailing address
1053 STOCKTON ST, SAN FRANCISCO, CA 94108-1109
(415) 362-3622
(415) 956-6233
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY34487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999186
PK
—
05
—
PHY34487
—
CA
Enumeration date
08/31/2006
Last updated
07/19/2018
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