MEDICARE: WELLCARE PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist
2	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073934915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLCARE PHARMACY

Provider Business Mailing Address
First Line	:	180 SCOTLAND RD
Second Line	:	SUITE #4
City	:	ORANGE
State	:	NJ
Zip	:	07050-1443
Country	:	US
Telephone Number	:	862-444-3632
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 SCOTLAND RD
Second Line	:	SUITE #4
City	:	ORANGE
State	:	NJ
Zip	:	07050-1443
Country	:	US
Telephone Number	:	862-444-3632
Fax Number	:	862-444-3942

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MRS. JAMES J GEORGE
Credential	:
Telephone Number	:	862-444-3632

Provider Enumeration Date	:	12/19/2013
Last Update Date	:	09/03/2021

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Directions to “WELLCARE PHARMACY ” Practice Location

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