Organization
WELLS SPECIALTY PHARMACY
Active
Organization
WELLS SPECIALTY PHARMACY
Active
Other names
Pharm-EZ Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD TOMLINSON (VICE PRESIDENT OF OPERATIONS)
(407) 383-2004
Entity
Organization
Contact information
Practice address
803 SOUTH ORLANDO AVENUE, SUITE D, WINTER PARK, FL 32789
(407) 965-3980
(407) 965-2978
Mailing address
803 SOUTH ORLANDO AVENUE, SUITE D, WINTER PARK, FL 32789
(407) 965-3980
(407) 965-2978
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25780
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004633400
—
FL
01
—
2132816
PK
—
Enumeration date
11/22/2011
Last updated
04/06/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up