DOUGLAS M & CAROL M WELLS
11260 Pleasant Valley Rd
Penn Valley, CA 95946
530-432-3921
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY35940 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2000531 | OTHER | |
PHA359400 | CA | MEDICAID |