Wells Pharmacy
Organization Active NPI Community/Retail Pharmacy · Cheyenne Wells, CO
NPI 1710063128 · NPPES record last updated Jun 18, 2008
Key facts
- NPI
- 1710063128
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 230000002 (CO)
- Legal business name
- WELLS PHARMACY
- Practice address
- 180 So. 1 E.
Cheyenne Wells, CO 80810-0005 - Phone
- (719) 767-5676
- Fax
- (719) 767-5448
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Theodore Edmund Billinger Jr., R. PH.
- Title
- Owner
- Phone
- (719) 767-5676
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 230000002 | CO | Yes |
Addresses
Primary practice location
180 So. 1 E.
Cheyenne Wells, CO 80810-0005
Mailing address
PO Box 5
Cheyenne Wells, CO 80810-0005
Phone (719) 767-5676
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03000429 | Medicaid | CO |
Other providers in Cheyenne Wells, CO
All providers in Cheyenne Wells, CO · Community/Retail Pharmacy in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.