MEDICARE: WECARE PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0004X	Compounding Pharmacy
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy
4	3336L0003X	Long Term Care Pharmacy	PH24486	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2124059	OTHER		PK

General Provider Information

NPI Number	:	1396067799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WECARE PHARMACY LLC

Provider Business Mailing Address
First Line	:	7830 GUNN HWY # A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-1612
Country	:	US
Telephone Number	:	813-908-6868
Fax Number	:	813-908-1818

Provider Business Practice Location Address
First Line	:	7830 GUNN HWY # A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-1612
Country	:	US
Telephone Number	:	813-908-6868
Fax Number	:	813-908-1818

Authorized Official
Title or Position	:	PHARMACIST
Name	:	QINGPING ZHANG
Credential	:
Telephone Number	:	813-334-3092

Provider Enumeration Date	:	02/25/2010
Last Update Date	:	04/21/2017

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