Provider Demographics
NPI:1588681001
Name:B E WELLNESS INC
Entity Type:Organization
Organization Name:B E WELLNESS INC
Other - Org Name:DUBOIS DRUG AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAHUSHAK
Authorized Official - Suffix:III
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:814-371-5827
Mailing Address - Street 1:209 BEAVER DR.
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-1266
Mailing Address - Country:US
Mailing Address - Phone:814-371-5827
Mailing Address - Fax:814-371-5829
Practice Address - Street 1:209 BEAVER DR.
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-1266
Practice Address - Country:US
Practice Address - Phone:814-371-5827
Practice Address - Fax:814-371-5829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PAPP414277L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1018119540001Medicaid
2079631OtherPK
PA1018119540001Medicaid