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Organization
WELLCARE PHARMACY LLC
Active
Organization
WELLCARE PHARMACY LLC
Active
Other names
Wellcare pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VARGHESE NELLIKUNNAT VARKEY (OWNER)
(817) 263-5050
Entity
Organization
Contact information
Practice address
4200 SOUTH FWY STE 26, FORT WORTH, TX 76115-1400
(817) 263-5050
(817) 263-5020
Mailing address
4200 SOUTH FWY STE 26, FORT WORTH, TX 76115-1400
(817) 263-5050
(817) 263-5020
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28493
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146771
—
TX
01
—
2139768
PK
—
Enumeration date
04/01/2013
Last updated
10/27/2023
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