Organization
WELLSPRING PHARMACY HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE NICHOLE LANE PHARM D (PRESIDENT)
(419) 961-2593
Entity
Organization
Contact information
Practice address
1987 W 4TH ST STE 200, ONTARIO, OH 44906-1708
(419) 756-2559
Mailing address
1987 W 4TH ST STE 200, ONTARIO, OH 44906-1708
(419) 756-2559
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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