Provider Demographics
NPI:1700116613
Name:GET WELL PHARMACY LLC
Entity Type:Organization
Organization Name:GET WELL PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MARKETING
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-688-1176
Mailing Address - Street 1:14315 SAN ESTEBAN DR
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-4329
Mailing Address - Country:US
Mailing Address - Phone:562-688-1176
Mailing Address - Fax:
Practice Address - Street 1:775 N TUSTIN ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-7128
Practice Address - Country:US
Practice Address - Phone:713-997-9265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH534233336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy