Organization
WELLS SPECIALTY PHARMACY INC
Active
Other names
WELLS SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO HEGLUND (VP CLINICAL OPERATIONS AND SERVICES)
(847) 331-1449
Entity
Organization
Contact information
Practice address
3796 HOWELL BRANCH RD, WINTER PARK, FL 32792-1740
(407) 915-3360
(407) 386-3082
Mailing address
3796 HOWELL BRANCH RD, WINTER PARK, FL 32792-1740
(407) 671-8070
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102946100
—
FL
01
—
1074993
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
03/07/2023
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