Individual
DR. CHARLOTTE LEN WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2020 ROSELAND BLVD, TYLER, TX 75701-4248
(903) 597-1358
(903) 593-4681
Mailing address
16937 COUNTY ROAD 15, TYLER, TX 75703-8057
(903) 871-0214
(903) 593-4681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35970
TX
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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