Organization
ALL WELL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMANTH KUMAR EDARA (PRESIDENT)
(904) 779-6990
Entity
Organization
Contact information
Practice address
5452 BLANDING BLVD, JACKSONVILLE, FL 32244-1957
(904) 779-6990
Mailing address
5452 BLANDING BLVD, JACKSONVILLE, FL 32244-1957
(904) 779-6990
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Enumeration date
12/07/2023
Last updated
12/29/2023
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