Individual
EDMUND M WELLONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1712 EASTWOOD RD, WILMINGTON, NC 28403-3641
(910) 256-3761
(910) 256-9345
Mailing address
1712 EASTWOOD RD, WILMINGTON, NC 28403
(910) 256-3761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
05971
NC
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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