Organization
ALL WELL PHARMACY INC
Active
Other names
All Well Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUMANTH KUMAR EDARA (PRESIDENT)
(904) 779-6990
Entity
Organization
Contact information
Practice address
5452 BLANDING BLVD, JACKSONVILLE, FL 32244-1957
(904) 779-6990
(904) 779-6995
Mailing address
5452 BLANDING BLVD, JACKSONVILLE, FL 32244-1957
(904) 779-6990
(904) 779-6995
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25397
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003613300
—
FL
01
—
2129850
PK
—
Enumeration date
04/18/2011
Last updated
09/28/2022
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