Wellspring Custom Pharmacy

LBN: The Wellness Store, Inc.
Wellspring Custom Pharmacy is an health care organization with primary practice located at 2291 W 4Th St Suite A, Mansfield OH 44906-1261. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. The Wellness Store, Inc. can be contacted via phone (419) 756-2559, or through Roseborough, James Bradley via phone (419) 756-2559.

Contact Information

Primary practice address
2291 W 4Th St Suite A Mansfield OH 44906-1261
Phone: (419) 756-2559
Fax: (419) 756-3135
Website:
Map and Directions
Authorized official contact:
Name: Roseborough, James Bradley R.PH.
Phone: (419) 756-2559

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X Ohio

Profile Details

NPI number 1477755601
LBN Legal business name The Wellness Store, Inc.
DBA Doing business as Wellspring Custom Pharmacy
Authorized official Roseborough, James Bradley R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2007
Last updated Aug 22nd, 2020 - about 6 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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