Organization
WELLMART PHARMACY INC.
Active
Organization
WELLMART PHARMACY INC.
Active
Other names
La Vida Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD OKEBIORUN RPH (PRESIDENT)
(215) 427-1603
Entity
Organization
Contact information
Practice address
2326 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4432
(215) 427-1603
(215) 427-3590
Mailing address
2326 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4432
(215) 427-1603
(215) 427-3590
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP482534
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103543558
—
PA
Enumeration date
08/30/2018
Last updated
07/01/2026
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