| NPI | 1649318767 |
|---|---|
| Doing Business As | WELL CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MANSOOR ALAM MALIK President 631-549-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-09-20 |