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NPI 1629722582

NPI 1629722582 : WECARE PHARMACY CORP. : WILLIS, TX

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General NPI Number Information
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    NPI Number           |    1629722582
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    Entity Type          |    Organization 
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    Legal Business Name  |    WECARE PHARMACY CORP. 
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Dates
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    Enumeration Date     |    02/09/2022
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    Last Update Date     |    10/31/2025
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Provider Practice Location Address
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    Address Line         |    9851 FM 1097 RD W STE 195 
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    City                 |    WILLIS
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    State                |    TX
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    Zip                  |    77318-5851
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    Country              |    US
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    Telephone            |    936-286-3288
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    Fax                  |    936-286-3289
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Provider Business Mailing Address
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    Address Line         |    123 DEER CROSSING 
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    City                 |    CONNE
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    State                |    TX
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    Zip                  |    77384
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    Country              |    US
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    Telephone            |    936-286-3288
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    Fax                  |    936-286-3289
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Authorized Official
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    Title or Position    |    PIC
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    Name                 |     WEIWEI  FOWLER 
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    Credential           |    PHARMD
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    Telephone            |    918-829-9627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0004X
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    Taxonomy Name        |    Compounding 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       |    
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    License Number State |    
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