Organization
ALL WELL PHARMACY INC
Active
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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