Provider Demographics
NPI:1275239840
Name:WELL-BEING SPECIALITY PHARMACY LLC
Entity Type:Organization
Organization Name:WELL-BEING SPECIALITY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MISS
Authorized Official - First Name:HYLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-734-7347
Mailing Address - Street 1:1509 1ST ST STE 130
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-3305
Mailing Address - Country:US
Mailing Address - Phone:346-843-0037
Mailing Address - Fax:346-843-0038
Practice Address - Street 1:1509 1ST ST STE 130
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-3305
Practice Address - Country:US
Practice Address - Phone:346-843-0037
Practice Address - Fax:346-843-0038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy