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
Fax: (318) 212-9993
Website:
Authorized official contact:
Name: Kaylor, Gary Raymond

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811011620 NPPES
Louisiana MEDICAID 1235679

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