# WELLMART PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WELLMART PHARMACY INC.
- **Other names:** La Vida Discount Pharmacy LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841991130
- **Legal business name:** WELLMART PHARMACY INC.
- **Authorized official:** EDWARD O OKEBIORUN (PIC/PRESIDENT)
- **Authorized official phone:** (215) 427-1603

## Contact information

- **Practice address:** 2363 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4466
- **Practice address phone:** (215) 427-1603
- **Practice address fax:** (215) 427-3590
- **Mailing address:** 2326 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4432
- **Mailing address phone:** (215) 427-1603
- **Mailing address fax:** (215) 427-3590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/14/2023
- **Last updated:** 07/01/2026
