Organization
THE WELLNESS CORNER, LLC
Active
Other names
The Wellness Corner
Organization subpart
No
Provider details
NPI number
Authorized official
MAX HUFF (COO)
(225) 677-0120
Entity
Organization
Contact information
Practice address
17733 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-3934
(225) 677-8200
(225) 677-8201
Mailing address
17733 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-3934
(225) 677-8200
(225) 677-8201
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHNR000397
GA
3336M0002X
Mail Order Pharmacy
054.020608
IL
3336M0002X
Mail Order Pharmacy
Primary
114624
AL
3336M0002X
Mail Order Pharmacy
12670
NC
3336M0002X
Mail Order Pharmacy
2041-43
WI
3336M0002X
Mail Order Pharmacy
214002006
VA
3336M0002X
Mail Order Pharmacy
29094
TX
3336M0002X
Mail Order Pharmacy
4881
IA
3336M0002X
Mail Order Pharmacy
6121
TN
3336M0002X
Mail Order Pharmacy
64002439A
IN
3336M0002X
Mail Order Pharmacy
LA2351
KY
3336M0002X
Mail Order Pharmacy
NRP.022798750-03
OH
3336M0002X
Mail Order Pharmacy
PHNR.FO.60798674
WA
3336M0002X
Mail Order Pharmacy
PHY.006397-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158047
PK
—
Enumeration date
02/12/2016
Last updated
07/19/2018
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