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WELLS BROS. PHARMACY SERVICES VAN BUREN LLC NPI 1437825569


NPI Information

NPI: 1437825569
Provider Name: WELLS BROS. PHARMACY SERVICES VAN BUREN, LLC

Doing Business As: WELLS HOMETOWN DRUG KEOSAUQUA

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 16D2244979

Address:
1547 BROAD ST
KEOSAUQUA, IA
ZIP 52565
Phone: (319) 293-7757
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WELLS BROS. PHARMACY SERVICES VAN BUREN, LLC is a pharmacy in Keosauqua, IA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. WELLS BROS. PHARMACY SERVICES VAN BUREN, LLC NPI is 1437825569. The provider is registered as an organization entity type.
The provider Is Doing Business As Wells Hometown Drug Keosauqua.

The provider's business location address is:

1547 BROAD ST
KEOSAUQUA, IA
ZIP 52565-163
Phone: (319) 293-7757
Fax: (319) 293-7741

The provider's authorized official is Mylo Wells .
The authorized official title is Owner and has the following contact phone number (641) 208-6889.

The CLIA number assigned to this NPI record is 16D2244979 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2021 and was last updated on 6/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0003XPharmacyCommunity/Retail PharmacyNo
4333600000XPharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.