Healthcare Provider Details
I. General information
NPI: 1104623792
Provider Name (Legal Business Name): WECARE MEDICAL PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/28/2025
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1955 CITRACADO PKWY STE 101
ESCONDIDO CA
92029-4111
US
IV. Provider business mailing address
1955 CITRACADO PKWY STE 101
ESCONDIDO CA
92029-4111
US
V. Phone/Fax
- Phone: 760-516-3500
- Fax: 760-516-3555
- Phone: 760-516-3500
- Fax: 760-516-3555
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RANA
DAGHER
Title or Position: PHARMACIST IN CHARGE
Credential:
Phone: 760-516-3500