Organization
WELLCARE PHARMACY INC
Active
Organization
WELLCARE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZENGXING LI (PHARMACY MANAGER)
(267) 538-2685
Entity
Organization
Contact information
Practice address
2220 COTTMAN AVE, FLOOR 1, PHILADELPHIA, PA 19149-1203
(267) 538-2685
(267) 538-2684
Mailing address
2220 COTTMAN AVE, FLOOR 1, PHILADELPHIA, PA 19149-1203
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482368
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027976350001
—
PA
Enumeration date
03/22/2013
Last updated
10/09/2019
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