Organization
WELLMART PHARMACY INC.
Active
Parent organization
WELLMART PHARMACY INC.
Other names
La Vida Discount Pharmacy LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLMART PHARMACY INC.
Authorized official
EDWARD O OKEBIORUN RPH (PRESIDENT)
(215) 427-1603
Entity
Organization
Contact information
Practice address
2363 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4466
(215) 427-1603
(215) 427-3590
Mailing address
2363 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4466
(215) 427-1603
(215) 427-3590
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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