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Individual

KIM DENISE WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1580 GREENSMARK DR APT 135, HOUSTON, TX 77067-4009
(281) 652-8080
(281) 652-1438
Mailing address
3003 S LOOP W STE 450, HOUSTON, TX 77054-1315
(281) 652-8080
(281) 652-1438

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26774
TX

Other

Enumeration date
02/27/2018
Last updated
02/27/2018
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