Organization
BB37 PA
Active
Other names
Wellington Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY REED PHARMD (PHARMACIST-IN-CHARGE)
(620) 326-7455
Entity
Organization
Contact information
Practice address
505 E 16TH ST, SUITE 2, WELLINGTON, KS 67152-2811
(620) 326-7455
(620) 326-2880
Mailing address
505 E 16TH ST, SUITE #2, WELLINGTON, KS 67152-2811
(620) 326-7455
(620) 326-2880
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-10292
KS
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200673880A
—
KS
01
—
2124654
PK
—
Enumeration date
04/09/2010
Last updated
09/21/2016
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