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Organization
WELLCARE PHARMACY INC
Active
Organization
WELLCARE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEMITOPE OULWAYEMISI GBOLAGUN (OWNER / PRESIDENT/PHARMACY MGR)
(410) 654-4441
Entity
Organization
Contact information
Practice address
9213 LAKESIDE BLVD, OWINGS MILLS, MD 21117-3859
(410) 654-4441
(410) 654-4463
Mailing address
9213 LAKESIDE BLVD, OWINGS MILLS, MD 21117-3859
(410) 654-4441
(410) 654-4463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P04406
MD
Other
Enumeration date
10/11/2006
Last updated
03/12/2008
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