Organization
WELLCARE PHARMACY
Active
Other names
Wellcare Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMES J GEORGE (MANAGING PARTNER)
(862) 444-3632
Entity
Organization
Contact information
Practice address
180 SCOTLAND RD, SUITE #4, ORANGE, NJ 07050-1443
(862) 444-3632
(862) 444-3942
Mailing address
180 SCOTLAND RD, SUITE #4, ORANGE, NJ 07050-1443
(862) 444-3632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0673170
—
NJ
Enumeration date
12/19/2013
Last updated
09/03/2021
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