Organization
VET WELL RX
Active
Other names
vet well rx
Organization subpart
No
Provider details
NPI number
Authorized official
HAIVAN IMMLER (PHARMACIST IN CHARGE)
(682) 223-1044
Entity
Organization
Contact information
Practice address
2150 W NORTHWEST HWY STE 118, GRAPEVINE, TX 76051-6993
(682) 223-1044
(682) 223-1412
Mailing address
2150 W NORTHWEST HWY STE 118, GRAPEVINE, TX 76051-6993
(682) 223-1044
(682) 223-1412
Taxonomy
Speciality
Code
Description
License number
State
1835C0207X
Compounded Sterile Preparations Pharmacist
Primary
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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