Organization
WELLS PHARMACY NETWORK LLC
Active
Other names
Wells Pharmacy Network, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DARIAN CHANDLER (VICE PRESIDENT OF OPERATIONS AND BU)
(561) 793-1568
Entity
Organization
Contact information
Practice address
1210 SW 33RD AVE, OCALA, FL 34474-2853
(352) 622-2913
(352) 401-5650
Mailing address
1210 SW 33RD AVE, OCALA, FL 34474-2853
(352) 622-2913
(352) 401-5650
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PH26249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002752
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/03/2006
Last updated
10/19/2012
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