Organization
WELLS PHARMACY INC
Active
Other names
PORTER DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA WELLS PHARM D (PRESIDENT)
(620) 325-2671
Entity
Organization
Contact information
Practice address
506 MAIN ST, NEODESHA, KS 66757-1739
(620) 325-2671
(620) 325-3326
Mailing address
PO BOX 346, NEODESHA, KS 66757-0346
(620) 325-2671
(620) 325-3326
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-10096
KS
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200428230A
—
KS
01
—
2031128
PK
—
05
—
30003879970001
—
KS
05
—
30003879970002
—
KS
Enumeration date
10/20/2006
Last updated
12/19/2024
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