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Organization
WELLCARE PHARMACY LLC
Active
Organization
WELLCARE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GITA LAVANI (PRESIDENT)
(201) 428-8930
Entity
Organization
Contact information
Practice address
693 E 18TH ST, PATERSON, NJ 07501-2375
(973) 925-7757
(973) 925-7758
Mailing address
693 E 18TH ST, PATERSON, NJ 07501-2375
(973) 925-7757
(973) 925-7758
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RS00734400
NJ
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/15/2014
Last updated
06/17/2024
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