Healthcare Provider Details

I. General information

NPI: 1548405970
Provider Name (Legal Business Name): WCRX PHARMACY CENTRAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2008
Last Update Date: 03/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SALEM CT
TALLAHASSEE FL
32301-2810
US

IV. Provider business mailing address

100 SALEM CT
TALLAHASSEE FL
32301-2810
US

V. Phone/Fax

Practice location:
  • Phone: 850-222-1963
  • Fax: 850-224-9356
Mailing address:
  • Phone: 850-222-1963
  • Fax: 850-224-9356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH24085
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: EMMANUEL INWANG
Title or Position: PHARM.D
Credential:
Phone: 850-222-1963