Healthcare Provider Details

I. General information

NPI: 1629722582
Provider Name (Legal Business Name): WECARE PHARMACY CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9851 FM 1097 RD W STE 195
WILLIS TX
77318-5851
US

IV. Provider business mailing address

123 DEER CROSSING
CONNE TX
77384
US

V. Phone/Fax

Practice location:
  • Phone: 936-286-3288
  • Fax: 936-286-3289
Mailing address:
  • Phone: 936-286-3288
  • Fax: 936-286-3289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: WEIWEI FOWLER
Title or Position: PIC
Credential: PHARMD
Phone: 918-829-9627