Organization
ALLZ WELL PHARMACY LLC
Active
Other names
Allz Well Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL LOCKE (MANAGING MEMBER)
(954) 769-1098
Entity
Organization
Contact information
Practice address
821 E OAKLAND PARK BLVD, OAKLAND PARK, FL 33334-2752
(954) 769-1098
(954) 769-1169
Mailing address
821 E OAKLAND PARK BLVD, OAKLAND PARK, FL 33334-2752
(954) 769-1098
(954) 769-1169
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24733
FL
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003085300
—
FL
01
—
5700629
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/24/2010
Last updated
03/26/2012
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