Wellborn Pharmacy, INC
NPI #1720140569 in Tucumcari, New Mexico
Provider Information
- NPI Number
- 1720140569
- Entity Type
- Organization
- Organization Name
- Wellborn Pharmacy, INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 15, 2006
- Last Updated
- Jul 20, 2022
Practice Location
- Address
- 1923 S 1ST ST
- City
- Tucumcari
- State
- New Mexico
- ZIP Code
- 88401-3826
- Phone
- (575) 461-2784
Authorized Official
- Name
- BRIAN WILSON
- Title
- OWNER / PRESIDENT
- Phone
- (575) 461-2784
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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