Organization
CENTERWELL PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN LYSINGER (VP)
(502) 580-2376
Entity
Organization
Contact information
Practice address
1397 S LOOP RD, PAHRUMP, NV 89048-4729
(775) 910-6000
Mailing address
10749 MARKS WAY, MIRAMAR, FL 33025-3976
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
06/12/2025
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