| NPI | 1972932069 |
|---|---|
| Doing Business As | WELLCARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TEMITOPE O GBOLAGUN President 410-662-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |