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NPI Code Detail

MEDICARE: WELLSPACE HEALTH

MEDICARE: WELLSPACE HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1891627055
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLSPACE HEALTH
Provider Business Mailing Address
First Line : 1500 EXPO PKWY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-4227
Country : US
Telephone Number : 916-469-4690
Fax Number :
Provider Business Practice Location Address
First Line : 2433 MARCONI AVE RM 1
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-4807
Country : US
Telephone Number : 916-550-5430
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : ALASDAIR JONATHAN PORTEUS
Credential : PHD
Telephone Number : 916-313-8413
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “WELLSPACE HEALTH ” Practice Location

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