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General NPI Number Information
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NPI Number | 1942923974
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Entity Type | Organization
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Legal Business Name | WELLCARE PHARMACY LLC
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 3078 W 7800 S STE 9
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City | WEST JORDAN
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State | UT
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Zip | 84088-3705
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Country | US
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Telephone | 385-855-3055
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Fax | 385-855-3053
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Provider Business Mailing Address
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Address Line | 3078 W 7800 S STE 9
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City | WEST JORDAN
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State | UT
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Zip | 84088-3705
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Country | US
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Telephone | 385-855-3055
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Fax | 385-855-3053
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Authorized Official
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Title or Position | PHARMACIST
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Name | VIJAY KALE
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Credential | RPH
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Telephone | 385-855-3055
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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 | 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 #3
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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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