| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BEVERLY NICOLE WELLMAN | 1093447484 | 2022-06-25 |
Beverly Nicole Wellman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1093447484. Registration indicates Beverly Nicole Wellman is a provider of services with a specialization in Pharmacy Service Providers, Pharmacy Technician (Pharmacy Technician, ) (Pharmacy Technician, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Beverly Nicole Wellman |
| Practice Office Address | 1665 ALPINE BLVD ALPINE, CA US |
| Practice Office Telephone | 6196591085 |
| Practice Office Fax | 6196595738 |
| Mailing Address | 1665 ALPINE BLVD ALPINE, CA 919013859 US |
| Business Telephone | 6196591085 |
| Business Fax | 6196595738 |
| Code | Practice | License No State |
|---|---|---|
| 183700000X PRIMARY | Pharmacy Service Providers Pharmacy Technician Pharmacy Technician Pharmacy Technician Pharmacy Service Providers | TCH94131
CA |