Organization
WELLCARE PHARMACY 3
Active
Other names
Wellcare Pharmacy 3
Organization subpart
No
Provider details
NPI number
Authorized official
ZENGXING LI (CFO)
(215) 560-8943
Entity
Organization
Contact information
Practice address
612-614 SNYDER AVE, PHILADELPHIA, PA 19148-4107
(215) 560-8161
(215) 608-8376
Mailing address
612-614 SNYDER AVE, PHILADELPHIA, PA 19148-4107
(155) 608-1612
(215) 608-8376
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482622
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103091960 0001
—
PA
01
—
2158426
PK
—
Enumeration date
03/01/2016
Last updated
09/19/2025
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