Organization
BLUEWELLS FAMILY PHARMACY INC
Active
Other names
BLUEWELLS FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD WELLS RPH (PRESIDENT, OWNER, PIC, AO)
(304) 589-7788
Entity
Organization
Contact information
Practice address
3675 COAL HERITAGE RD, BLUEFIELD, WV 24701-9511
(304) 589-7788
(304) 589-7759
Mailing address
PO BOX 118, BLUEFIELD, WV 24701-0118
(304) 589-7788
(304) 589-7759
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
MP0552305
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010031419
—
VA
01
—
2111497
PK
—
05
—
6010026000
—
WV
Enumeration date
07/19/2006
Last updated
03/17/2016
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