Wells Bros. Pharmacy Services, LLC
Organization Active NPI Long Term Care Pharmacy · Bloomfield, IA
NPI 1831735455 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1831735455
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- WELLS BROS. PHARMACY SERVICES, LLC
- Practice address
- 208 E Franklin St
Bloomfield, IA 52537-1685 - Phone
- (641) 664-3100
- Fax
- (641) 664-2290
- NPI assigned
- Nov 19, 2019
- Organization subpart
- No
Authorized official
- Name
- Mylo E Wells, PHARMD
- Title
- Owner
- Phone
- (641) 664-3100
Corporate family (same tax ID) 2
Practitioners 5
-
Mylo E Wells, PHARMD
-
Jana Marie Roberts, RPH
-
Caitlin Rohrbaugh, PHARMD
-
Phoebe Elizabeth Moore, PHARMD
-
Kaden Nicole Porter, PHARMD
National Provider Directory
- Tax ID family
- Wells Bros Pharmacy Services LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
208 E Franklin St
Bloomfield, IA 52537-1685
Mailing address
208 E Franklin St
Bloomfield, IA 52537-1685
Phone (641) 664-3100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0223048 | Medicaid | IA |
Other names
- Wells Hometown Drug
Other providers in Bloomfield, IA
- Thomas G Juhl OD
- Thomas G Juhl, OD
- Meghan Todey
- Susan Catherine Warner
- Wells Bros. Pharmacy Services, LLC
- Jacqueline L Wells
- Mylo E Wells
- Douglas Alan Wetrich
- Megan Whisler
- Donald Richard Wirtanen
All providers in Bloomfield, IA · Long Term Care Pharmacy in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2024. 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.