Healthcare Provider Details

I. General information

NPI: 1700612991
Provider Name (Legal Business Name): WELLBEING RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2024
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 W ROSAMOND BLVD
ROSAMOND CA
93560-7429
US

IV. Provider business mailing address

41254 CHESTNUT ST # CA
PALMDALE CA
93551-2863
US

V. Phone/Fax

Practice location:
  • Phone: 661-256-1118
  • Fax: 661-256-1119
Mailing address:
  • Phone: 818-261-8817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KARIM BOTROS
Title or Position: OWNER
Credential:
Phone: 818-261-8817