| NPI | 1811011620 |
|---|---|
| Doing Business As | WELLCARE PHARMACY & MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | GARY RAYMOND KAYLOR President 318-212-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: 6168-IR) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 1235679) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-06-05 |