Organization
WELLDYNE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN C. CAIN (COO)
(303) 645-2613
Entity
Organization
Contact information
Practice address
7472 S TUCSON WAY, SUITE 100-B, CENTENNIAL, CO 80112-4452
(800) 641-8475
(800) 530-8589
Mailing address
7472 S TUCSON WAY, SUITE 100-B, CENTENNIAL, CO 80112-4452
(800) 641-8475
(800) 530-8589
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
370000059
CO
3336S0011X
Specialty Pharmacy
370000059
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03001245
—
CO
01
—
0613302
NCPDP
—
05
—
7C0059
—
SC
Enumeration date
10/20/2006
Last updated
02/13/2018
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