Organization
DWCD CORP
Active
Other names
Better Care RX
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN WALLACE (PRESIDENT/OWNER)
(818) 500-0079
Entity
Organization
Contact information
Practice address
4128 W BURBANK BLVD, BURBANK, CA 91505-2121
(818) 500-0079
(818) 500-0225
Mailing address
4128 W BURBANK BLVD, BURBANK, CA 91505-2121
(818) 500-0079
(818) 500-0225
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
46287
CA
3336C0003X
Community/Retail Pharmacy
Primary
46287
CA
3336C0004X
Compounding Pharmacy
46287
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA462870
—
CA
Enumeration date
01/15/2007
Last updated
02/04/2020
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