Organization
WELLS BROS. PHARMACY SERVICES VAN BUREN, LLC
Active
Other names
Wells Hometown Drug Keosauqua
Organization subpart
No
Provider details
NPI number
Authorized official
MYLO WELLS PHARMD (OWNER)
(641) 208-6889
Entity
Organization
Contact information
Practice address
1547 BROAD ST, KEOSAUQUA, IA 52565-1163
(319) 293-7757
(319) 293-7741
Mailing address
1547 BROAD ST, KEOSAUQUA, IA 52565-1163
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
08/18/2021
Last updated
04/22/2026
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