# WELLS BROS. PHARMACY SERVICES, LLC

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

## Provider details

- **NPI number:** 1831735455
- **Authorized official:** MYLO E WELLS PHARMD (OWNER)
- **Authorized official phone:** (641) 664-3100

## Contact information

- **Practice address:** 208 E FRANKLIN ST, BLOOMFIELD, IA 52537-1685
- **Practice address phone:** (641) 664-3100
- **Practice address fax:** (641) 664-2290
- **Mailing address:** 208 E FRANKLIN ST, BLOOMFIELD, IA 52537-1685
- **Mailing address phone:** (641) 664-3100
- **Mailing address fax:** (641) 664-2290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/19/2019
- **Last updated:** 09/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0223048 | — | IA |