Individual
DANA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 GATEWAY DR, T-1401, BROOKLYN, NY 11239-2801
(718) 235-7139
Mailing address
519 GATEWAY DR, T-1401, BROOKLYN, NY 11239-2801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
052847
NY
Other
Enumeration date
03/07/2010
Last updated
03/07/2010
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