Organization
WELLS BROS. PHARMACY SERVICES VAN BUREN, LLC
Active
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
1014 FRANKLIN ST, KEOSAUQUA, IA 52565-1098
(319) 293-7757
(319) 293-7741
Mailing address
PO BOX 10, 1014 FRANKLIN ST, KEOSAUQUA, IA 52565-1098
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
06/22/2026
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