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General NPI Number Information
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NPI Number | 1497867329
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Entity Type | Organization
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Legal Business Name | WELLMANS PHARMACY INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 1053 STOCKTON ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94108-1109
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Country | US
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Telephone | 415-362-3622
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Fax | 415-956-6233
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Provider Business Mailing Address
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Address Line | 1053 STOCKTON ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94108-1109
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Country | US
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Telephone | 415-362-3622
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Fax | 415-956-6233
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Authorized Official
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Title or Position | OWNER
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Name | PETER LO
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Credential | PHARMACIST
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Telephone | 415-362-3622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY34487
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License Number State | CA
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