Organization
WELLNES HEALTHCARE MARKETING INC
Active
Other names
HOLLYWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CLEMENT ADENUPEBI (OWNER)
(301) 345-3400
Entity
Organization
Contact information
Practice address
9901 RHODE ISLAND AVE, COLLEGE PARK, MD 20740-1424
(301) 345-3400
(301) 345-2444
Mailing address
9901 RHODE ISLAND AVE, COLLEGE PARK, MD 20740-1424
(301) 345-3400
(301) 345-2444
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P04397
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2038162
PK
—
05
—
409730100
—
MD
Enumeration date
07/30/2006
Last updated
02/14/2017
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