Healthcare Provider Details

I. General information

NPI: 1992514269
Provider Name (Legal Business Name): THE WELL DISPENSARY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2732 ANN ELIZABETH DR
BURLINGTON NC
27215-6650
US

IV. Provider business mailing address

2732 ANN ELIZABETH DR
BURLINGTON NC
27215-6650
US

V. Phone/Fax

Practice location:
  • Phone: 336-270-6716
  • Fax:
Mailing address:
  • Phone: 336-270-6176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. MARQUITA A DODDS
Title or Position: PHARMACY MANAGER
Credential: PHARMD
Phone: 336-880-3318