| NPI | 1275108227 |
|---|---|
| Doing Business As | WELLCARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRYAN T PHAN Member Managed 408-661-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2022-02-06 |