Organization
WELLS PHARMACY SERVICES INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D WELLS PHARMD (OWNER PHARMACIST)
(912) 564-2720
Entity
Organization
Contact information
Practice address
331 MIMS RD, SYLVANIA, GA 30467-1992
(912) 564-2720
(912) 564-2717
Mailing address
331 MIMS RD, SYLVANIA, GA 30467-1992
(912) 564-2720
(912) 564-2717
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
8354
GA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
PHRE008354
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00846381A
—
GA
05
—
00846381B
—
GA
01
—
1146504
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
03/07/2023
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