Organization
WELLS SPECIALTY PHARMACY INC
Active
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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