# WELAKA PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1548307648
- **Authorized official:** THOMAS P BALL RPH (P)
- **Authorized official phone:** (386) 467-9994

## Contact information

- **Practice address:** 698 THIRD AVENUE, WELAKA, FL 32193
- **Practice address phone:** (386) 467-9994
- **Practice address fax:** (386) 467-3112
- **Mailing address:** 698 THIRD AVE, WELAKA, FL 32193
- **Mailing address phone:** (386) 467-9994
- **Mailing address fax:** (386) 467-3112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PH16228 | FL | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 07/05/2013