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General NPI Number Information
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NPI Number | 1942608922
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Entity Type | Organization
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Legal Business Name | WELLROCK PHARMACY LLC
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 9715 MEDICAL CENTER DR STE 100
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City | ROCKVILLE
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State | MD
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Zip | 20850-6319
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Country | US
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Telephone | 301-424-1411
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Fax | 301-424-0232
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Provider Business Mailing Address
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Address Line | 9715 MEDICAL CENTER DR STE 100
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City | ROCKVILLE
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State | MD
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Zip | 20850-6319
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Country | US
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Telephone | 301-424-1411
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Fax | 301-424-0232
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Authorized Official
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Title or Position | PIC / PARTNER
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Name | SHIDDHARTH PATEL
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Credential |
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Telephone | 301-424-1411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P06683
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License Number State | MD
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