Individual
DR. JONATHAN BRECKEN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1585 3RD ST, ATTN: PHARMACY, FORT POLK, LA 71459-5102
(337) 531-8098
(337) 531-3614
Mailing address
1585 3RD ST, ATTN: PHARMACY, FORT POLK, LA 71459-5102
(337) 531-8098
(337) 531-3614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010013
MS
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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