Organization
WHEATON PHARMACY INC
Active
Other names
WELLCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TEMITOPE O GBOLAGUN (PRESIDENT)
(301) 942-1520
Entity
Organization
Contact information
Practice address
3951 FERRARA DR, SILVER SPRING, MD 20906-4709
(301) 942-1520
(301) 942-1515
Mailing address
9476 FENS HOLW, LAUREL, MD 20723-5732
(301) 942-1520
(301) 942-1515
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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