Organization
B-WELL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOAN ON PHARMD (OWNER)
(916) 392-3488
Entity
Organization
Contact information
Practice address
2737 WOODBERRY WAY, STE 101, RANCHO CORDOVA, CA 95670-4758
(916) 361-9616
(916) 361-9553
Mailing address
PO BOX 245036, SACRAMENTO, CA 95824-5036
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5614854
OTHER ID NUMBER
—
Enumeration date
01/29/2007
Last updated
08/30/2007
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