Provider Demographics
NPI:1821865056
Name:ALL WELL PHARMACY INC
Entity Type:Organization
Organization Name:ALL WELL PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUMANTH
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:EDARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-779-6990
Mailing Address - Street 1:5452 BLANDING BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-1957
Mailing Address - Country:US
Mailing Address - Phone:904-779-6990
Mailing Address - Fax:
Practice Address - Street 1:5452 BLANDING BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-1957
Practice Address - Country:US
Practice Address - Phone:904-779-6990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy