| NPI | 1215587159 |
|---|---|
| Doing Business As | WELLMART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALBERT MORADOV President 718-704-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |