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General NPI Number Information
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NPI Number | 1730273145
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Entity Type | Organization
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Legal Business Name | WELLS PHARMACY SERVICES INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 331 MIMS RD
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City | SYLVANIA
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State | GA
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Zip | 30467-1992
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Country | US
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Telephone | 912-564-2720
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Fax | 912-564-2717
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Provider Business Mailing Address
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Address Line | 331 MIMS RD
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City | SYLVANIA
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State | GA
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Zip | 30467-1992
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Country | US
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Telephone | 912-564-2720
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Fax | 912-564-2717
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | DAVID D WELLS
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Credential | PHARMD
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Telephone | 912-564-2720
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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 | 8354
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHRE008354
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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