Wellcare Pharmacy & Medical Supply
LBN: Wellcare Pharmacy & Home Infusion Llc
Wellcare Pharmacy & Medical Supply is an health care organization with primary practice located at 4160 Airline Dr , Bossier City LA 71111-2050. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Wellcare Pharmacy & Home Infusion Llc can be contacted via phone (318) 212-9990, or through Kaylor, Gary Raymond via phone (318) 212-9990.
Contact Information
Primary practice address
4160 Airline Dr
Bossier City LA 71111-2050
Phone: (318) 212-9990
Fax: (318) 212-9993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 1235679 | Louisiana |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 6168-IR |
Profile Details
| NPI number | 1811011620 |
|---|---|
| LBN Legal business name | Wellcare Pharmacy & Home Infusion Llc |
| DBA Doing business as | Wellcare Pharmacy & Medical Supply |
| Authorized official | Kaylor, Gary Raymond |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jun 5th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811011620 | NPPES |
| Louisiana | MEDICAID | 1235679 |
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