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General NPI Number Information
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NPI Number | 1043670276
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Entity Type | Organization
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Legal Business Name | WELLCARE PHARMACY 3
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Dates
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Enumeration Date | 03/01/2016
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 612-614 SNYDER AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19148-4107
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Country | US
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Telephone | 215-560-8161
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Fax | 215-608-8376
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Provider Business Mailing Address
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Address Line | 612-614 SNYDER AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19148-4107
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Country | US
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Telephone | 155-608-1612
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Fax | 215-608-8376
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Authorized Official
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Title or Position | CFO
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Name | ZENGXING LI
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Credential |
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Telephone | 215-560-8943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP482622
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License Number State | PA
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