# SAMSAK PHARMACY CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** wellcare pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669837563
- **Authorized official:** ROHIT SAKARIA (PHARMACIST)
- **Authorized official phone:** (718) 450-8759

## Contact information

- **Practice address:** 906 E 180TH ST, BRONX, NY 10460-1916
- **Practice address phone:** (718) 450-8759
- **Practice address fax:** (718) 450-8890
- **Mailing address:** 906 E 180TH ST, BRONX, NY 10460-1916
- **Mailing address phone:** (718) 450-8759
- **Mailing address fax:** (718) 450-8890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | 034349 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/18/2015
- **Last updated:** 08/04/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2160151 | PK | — |