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
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