| NPI | 1376033365 |
|---|---|
| Doing Business As | WELLCARE PHARMACY 4 |
| Entity Type | Organization |
| Authorized Contact | ZENGXING LI President 267-488-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482786) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-07-19 |