Individual
JONATHAN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27691 CAPSHAW RD, HARVEST, AL 35749-7403
(256) 230-3416
Mailing address
139 MISTY HOLLOW WAY, HUNTSVILLE, AL 35806-4229
(256) 655-0356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14400
AL
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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