Organization
NOWELL PHARMACY LLC
Active
Organization
NOWELL PHARMACY LLC
Active
Other names
NOWELL PHARMACY, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA DOMZALSKI DE RIOS PHARMACY (OWNER)
(575) 396-6746
Entity
Organization
Contact information
Practice address
122 W ADAMS AVE, LOVINGTON, NM 88260-4010
(575) 396-4242
(575) 396-3133
Mailing address
122 W ADAMS AVE, LOVINGTON, NM 88260-4010
(575) 396-4242
(575) 396-3133
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00001233
NM
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056596
PK
—
05
—
56630
—
NM
Enumeration date
08/10/2006
Last updated
09/18/2017
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.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up