Organization
ALLWELL PHARMACY AND MEDICAL SUPPLIES LLC
Active
Organization
ALLWELL PHARMACY AND MEDICAL SUPPLIES LLC
Active
Other names
ALLWELL PHARMACY AND MEDICAL SUPPLIES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CLETUS DURU PHARM.D (OWNER/PHARMACIST)
(916) 690-3585
Entity
Organization
Contact information
Practice address
5611 STOCKTON BLVD, SACRAMENTO, CA 95824-1611
(916) 457-2905
(916) 457-2140
Mailing address
5611 STOCKTON BLVD, SACRAMENTO, CA 95824-1611
(916) 457-2905
(916) 457-2140
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50426
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127540
PK
—
Enumeration date
11/10/2010
Last updated
07/02/2014
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