Specialty Compounding Pharmacy

LBN: Wellness Pharmacy, Inc
Specialty Compounding Pharmacy is an health care organization with primary practice located at 4640 Champlain Dr 113, Lincoln NE 68521-4714. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Wellness Pharmacy, Inc can be contacted via phone (402) 413-9950, or through Pham, Kayla A via phone (402) 304-7564.

Contact Information

Primary practice address
4640 Champlain Dr 113 Lincoln NE 68521-4714
Phone: (402) 413-9950
Fax: (402) 413-9964
Website:
Map and Directions
Authorized official contact:
Name: Pham, Kayla A
Phone: (402) 304-7564

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 3100 Nebraska
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1902252521
LBN Legal business name Wellness Pharmacy, Inc
DBA Doing business as Specialty Compounding Pharmacy
Authorized official Pham, Kayla A
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2016
Last updated May 10th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902252521 NPPES
Nebraska MEDICAID 10026581700

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