Provider Demographics
NPI:1639767460
Name:WELLS, THOMAS REED II (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:REED
Last Name:WELLS
Suffix:II
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 MUIRFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-7411
Mailing Address - Country:US
Mailing Address - Phone:484-682-6478
Mailing Address - Fax:
Practice Address - Street 1:2575 MUIRFIELD WAY
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-7411
Practice Address - Country:US
Practice Address - Phone:484-682-6478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP042989L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist