Individual
JACK R WELLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
10745 EAGLE DR, INDIANAPOLIS, IN 46234-3069
(317) 852-0869
Mailing address
10745 EAGLE DR, INDIANAPOLIS, IN 46234-3069
(317) 852-0869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018395A
IN
Other
Enumeration date
10/14/2010
Last updated
02/28/2019
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