NPI | 1003257643 |
---|---|
Other Name | WCRX PHARMACY LLC |
Entity Type | Organization |
Authorized Contact | JOY EMMANUEL INWANG Authorized Official 850-222-1963 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL PH24084) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care |
Enumeration Date | 2013-07-11 |
Last Update Date | 2019-06-03 |