Organization
WELLCARE PHARMACY SERVICES INC
Active
Other names
Wellcare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALPESH PATEL (OWNER)
(352) 391-5533
Entity
Organization
Contact information
Practice address
13733 N US HIGHWAY 441, LADY LAKE, FL 32159-8981
(352) 391-5533
(352) 391-5531
Mailing address
13733 N. US HWY 441, LADY LAKE, FL 32159
(352) 391-5533
(352) 391-5531
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24663
FL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5700213
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/27/2010
Last updated
07/12/2021
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