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Organization
WELLS PHARMACY, INC
Active
Organization
WELLS PHARMACY, INC
Active
Other names
Wells Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
YI YI SUN (PRESIDENT)
(909) 949-6889
Entity
Organization
Contact information
Practice address
1984 INDIAN HILL BLVD, POMONA, CA 91767-3620
(909) 949-6889
(909) 949-2188
Mailing address
PO BOX 1207, UPLAND, CA 91785-1207
(909) 949-6889
(909) 949-2188
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY54450
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2114101
PK
—
05
—
PHA54450
—
CA
Enumeration date
06/21/2006
Last updated
10/21/2016
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