Organization
PETCO WELLNESS LLC
Active
Other names
Doctors Foster and Smith Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DARRAGH DAVIS (VICE PRESIDENT)
(858) 657-2091
Entity
Organization
Contact information
Practice address
2253 AIR PARK RD, RHINELANDER, WI 54501-8425
(800) 447-3021
(800) 447-2404
Mailing address
10850 VIA FRONTERA, SAN DIEGO, CA 92127-1705
(858) 453-7845
(858) 638-2201
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
9291-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150646
PK
—
Enumeration date
07/31/2006
Last updated
06/17/2016
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