Individual
LEA A WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
HWY 18 PHS INDIAN HOSPITAL, PINE RIDGE, SD 57770-1201
(605) 867-5131
Mailing address
PO BOX 1201, PINE RIDGE, SD 57770-1201
(605) 867-5131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10289
NE
Other
Enumeration date
01/02/2006
Last updated
08/01/2013
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