Organization
WELLCARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REDIET TAYE PHARMD (MANAGER)
(202) 262-9328
Entity
Organization
Contact information
Practice address
3923 S CAPITOL ST SW, UNIT A, WASHINGTON, DC 20032-2308
(202) 847-0237
Mailing address
3923 S CAPITOL ST SW, UNIT A, WASHINGTON, DC 20032-2308
(202) 847-0237
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RX0000058
DC
Other
Enumeration date
04/29/2014
Last updated
05/29/2014
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