Organization
BEWELL LLC
Active
Organization
BEWELL LLC
Active
Other names
Bewell Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMITRI DUKHOVNY (MANAGING MEMBER/CEO)
(858) 218-3330
Entity
Organization
Contact information
Practice address
5346 MADISON AVE STE A, SACRAMENTO, CA 95841-3168
(916) 800-6004
(916) 249-1449
Mailing address
5346 MADISON AVE STE A, SACRAMENTO, CA 95841-3168
(916) 800-6004
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
01/23/2024
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