| NPI | 1073733408 |
|---|---|
| Former Legal Business Name | WELLCARE SPECIALTY PHARMACY, INC. |
| Entity Type | Organization |
| Authorized Contact | JESSICA DAWN CICCOLELLA-KAHL President 855-422-2742 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL Ph22669) |
| Additional Taxonomies | 251F00000X Home Infusion |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2024-02-09 |