Provider Demographics
NPI:1598304669
Name:WELL GOODS PHARMACY INC
Entity Type:Organization
Organization Name:WELL GOODS PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XUE
Authorized Official - Middle Name:TAO
Authorized Official - Last Name:MEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-732-7513
Mailing Address - Street 1:3179 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-7006
Mailing Address - Country:US
Mailing Address - Phone:954-933-2191
Mailing Address - Fax:954-859-2248
Practice Address - Street 1:3179 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-7006
Practice Address - Country:US
Practice Address - Phone:954-933-2191
Practice Address - Fax:954-859-2248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy