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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