Organization
WCRX OF HOLLYWOOD LLC
Active
Other names
WCRx Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOY EMMANUEL INWANG (AUTHORIZED OFFICIAL)
(850) 222-1963
Entity
Organization
Contact information
Practice address
210 S FEDERAL HWY STE 317, HOLLYWOOD, FL 33020-6811
(850) 222-1963
(850) 224-9356
Mailing address
175 SALEM CT, TALLAHASSEE, FL 32301-2809
(850) 222-1963
(850) 224-9356
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
—
—
302R00000X
Health Maintenance Organization
Primary
PH24084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000970500
—
FL
Enumeration date
07/11/2013
Last updated
06/03/2019
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