| 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 |