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Organization
WELL CARE PHARMACY OF LONGISLAND CORP.
Active
Organization
WELL CARE PHARMACY OF LONGISLAND CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAHEEL PERVEZ (OWNER)
(516) 249-5900
Entity
Organization
Contact information
Practice address
1037 FULTON ST, FARMINGDALE, NY 11735-4700
(516) 249-5900
(516) 249-5902
Mailing address
1011-45 RT 109, FARMINGDALE, NY 11735-4700
(516) 249-5900
(516) 249-5902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
030876
NY
Other
Enumeration date
10/26/2011
Last updated
11/23/2011
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