Individual
JEREMY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1030 W 21ST ST, SOUTH SIOUX CITY, NE 68776-2661
(402) 494-8827
(402) 494-0328
Mailing address
1030 W 21ST ST, SOUTH SIOUX CITY, NE 68776-2661
(402) 494-8827
(402) 494-0328
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14370
NE
Other
Enumeration date
10/15/2017
Last updated
10/15/2017
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