Organization
SAMSAK PHARMACY CORP
Active
Other names
wellcare pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROHIT SAKARIA (PHARMACIST)
(718) 450-8759
Entity
Organization
Contact information
Practice address
906 E 180TH ST, BRONX, NY 10460-1916
(718) 450-8759
(718) 450-8890
Mailing address
906 E 180TH ST, BRONX, NY 10460-1916
(718) 450-8759
(718) 450-8890
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
034349
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160151
PK
—
Enumeration date
12/18/2015
Last updated
08/04/2016
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