NPI | 1124553177 |
---|---|
Doing Business As | WELLCARE PHARMACY |
Entity Type | Organization |
Authorized Contact | SHAHID LATIF President 718-329-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035563) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2017-04-27 |
Last Update Date | 2018-07-19 |