Wellspring Pharmacy Health INC.
Pharmacy, Compounding Pharmacy in Ontario, OH. Organization (NPI-2).
NPI number1710690656
StatusActive
Last updated in NPPESJan 5, 2023
Details
- NPI
- 1710690656
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellspring Pharmacy Health INC.
- Organization subpart
- No
- Enumeration date
- Jan 5, 2023
- Certification date
- Jan 5, 2023
- Last updated
- Jan 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – | Yes |
Practice location
1987 W 4th St Ste 200Ontario, OH 44906-1708
Phone 419-756-2559
Mailing address
1987 W 4th St Ste 200Ontario, OH 44906-1708
Phone 419-756-2559
Authorized official
Stephanie Nichole Lane
President
4199612593
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