Wellcare Ltc Pharmacy

LBN: Sonoran Pharmacy Group Inc
Wellcare Ltc Pharmacy is an health care organization with primary practice located at 4101 Wagon Trail Ave , Las Vegas NV 89118-4426. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Sonoran Pharmacy Group Inc can be contacted via phone (702) 576-9545, or through Whitney, Blair via phone (360) 543-7376.

Contact Information

Primary practice address
4101 Wagon Trail Ave Las Vegas NV 89118-4426
Phone: (702) 576-9545
Fax: (702) 946-0353
Website:
Map and Directions
Authorized official contact:
Name: Whitney, Blair
Phone: (360) 543-7376

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PH02771 Nevada

Profile Details

NPI number 1285908798
LBN Legal business name Sonoran Pharmacy Group Inc
DBA Doing business as Wellcare Ltc Pharmacy
Authorized official Whitney, Blair
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2012
Last updated Nov 7th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285908798 NPPES
Other 2152490 PK

Popular Providers