| NPI | 1720455819 |
|---|---|
| Doing Business As | WELLCARE PHARMACY 2 |
| Entity Type | Organization |
| Authorized Contact | MARK LIU Pharmacy Manager 267-686-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482580) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2019-10-09 |