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Contact Information

WELLCARE PHARMACY
180 SCOTLAND RD
SUITE #4
CITY OF ORANGE, NJ07050-1443
 Phone: 862-444-3632
 Fax: 862-444-3942
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for WELLCARE PHARMACY

NPI # 1073934915
LBN Legal business name WELLCARE PHARMACY
Authorized official JAMES GEORGE - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2013
Last updated 09/03/2021 - About 5 years ago
Identifiers
NJ Medicaid 0673170
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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