Wellcare Pharmacy Llc
LBN: Wellcare Pharmacy Llc
Wellcare Pharmacy Llc is an health care organization with primary practice located at 9760 S Kedzie Ave , Evergreen Park IL 60805-3109. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Wellcare Pharmacy Llc can be contacted via phone (708) 930-5927, or through Abdallah, Hani via phone (708) 307-7839.
Contact Information
Primary practice address
9760 S Kedzie Ave
Evergreen Park IL 60805-3109
Phone: (708) 930-5927
Fax: (708) 930-5935
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 054020144 | Illinois |
Profile Details
NPI number | 1760927057 |
---|---|
LBN Legal business name | Wellcare Pharmacy Llc |
DBA Doing business as | |
Authorized official | Abdallah, Hani RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 22nd, 2016 |
Last updated | Mar 23rd, 2017 - about 7 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 | 1760927057 | NPPES |
Other | 2167135 | PK |
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