# WELLMART PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245692276
- **Authorized official:** ABDUL RAUF (PRESIDENT)
- **Authorized official phone:** (917) 848-6362

## Contact information

- **Practice address:** 172 WATKINS ST, BROOKLYN, NY 11212-6713
- **Practice address phone:** (718) 498-7800
- **Mailing address:** 172 WATKINS ST, BROOKLYN, NY 11212-6713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2016
- **Last updated:** 03/29/2016