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Contact Information

WELLS SPECIALTY PHARMACY
803 SOUTH ORLANDO AVENUE
SUITE D
WINTER PARK, FL32789
 Phone: 407-965-3980
 Fax: 407-965-2978
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WELLS SPECIALTY PHARMACY

NPI # 1336416171
LBN Legal business name WELLS SPECIALTY PHARMACY
Authorized official CHAD TOMLINSON - (VICE PRESIDENT OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 11/22/2011
Last updated 04/06/2016 - About 10 years ago
Identifiers
FL License # PH25780
FL Medicaid 004633400
Other 2132816 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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