Organization
MEDCARE SERVICES INC
Active
Other names
WELL CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MINAS BAMBALYAN (PRESIDENT/CEO)
(818) 551-0102
Entity
Organization
Contact information
Practice address
1108 1/2 W GLENOAKS BLVD, GLENDALE, CA 91202-2606
(818) 551-0102
(818) 551-0106
Mailing address
1108 1/2 W GLENOAKS BLVD, GLENDALE, CA 91202-2606
(818) 551-0102
(818) 551-0106
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY44178
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1994992
PK
—
05
—
PHA441780
—
CA
05
—
PHY44178
—
CA
01
—
PHY61422
BOP
CA
Enumeration date
09/20/2006
Last updated
05/06/2026
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