# ABSOLUTE WELLCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Absolute Wellcare LLc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679848113
- **Authorized official:** JACQUELINE KUPPERMANN (OWNER)
- **Authorized official phone:** (818) 779-8648

## Contact information

- **Practice address:** 15800 ARMINTA ST, VAN NUYS, CA 91406-1918
- **Practice address phone:** (818) 779-8648
- **Practice address fax:** (818) 779-8672
- **Mailing address:** 15800 ARMINTA ST, VAN NUYS, CA 91406-1918
- **Mailing address phone:** (818) 779-8648
- **Mailing address fax:** (818) 779-8672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 59029 | CA | Yes |

## Other

- **Enumeration date:** 03/16/2012
- **Last updated:** 03/29/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5643742 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |