| NPI | 1285908798 |
|---|---|
| Doing Business As | WELLCARE LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BLAIR WHITNEY Greffier 360-543-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NV PH02771) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2016-11-07 |