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DOUGLAS M & CAROL M WELLS NPI 1003816083


NPI Information

NPI: 1003816083
Provider Name: DOUGLAS M & CAROL M WELLS

Doing Business As: PLEASANT VALLEY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
11260 PLEASANT VALLEY RD
PENN VALLEY, CA
ZIP 95946
Phone: (530) 432-3921
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DOUGLAS M & CAROL M WELLS is a community/retail pharmacy pharmacy in Penn Valley, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. DOUGLAS M & CAROL M WELLS NPI is 1003816083. The provider is registered as an organization entity type.
The provider Is Doing Business As Pleasant Valley Pharmacy.

The provider's business location address is:

11260 PLEASANT VALLEY RD
PENN VALLEY, CA
ZIP 95946-413
Phone: (530) 432-3921

The provider's authorized official is Doug Wells .
The authorized official title is Owner and has the following contact phone number (530) 432-3921.

The enumeration date for this NPI number is 7/29/2005 and was last updated on 3/3/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY35940CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHA359400MEDICAIDCALIFORNIA
22000531OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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