Organization
WELL CARE PHARMACY I, LLC SERIES A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA ROBERTS (GENERAL MANAGER)
(702) 410-7801
Entity
Organization
Contact information
Practice address
80 N PECOS RD, HENDERSON, NV 89074-3300
(702) 912-1400
Mailing address
3312 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1829
(702) 410-7825
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
08/15/2022
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