Individual
CHARLES TYLER WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 E MAIN ST, HAZARD, KY 41701-1920
(606) 551-1110
Mailing address
PO BOX 1964, HYDEN, KY 41749-1964
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021182
KY
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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