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NPI Code Detail

MEDICARE: WELLRX PHARMACY INC

MEDICARE: WELLRX PHARMACY INC
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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
133822OTHERTXBOARD OF PHARMACY

General Provider Information

NPI Number : 1730757931
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLRX PHARMACY INC
Provider Business Mailing Address
First Line : 2930 S BUCKNER BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75227-6907
Country : US
Telephone Number : 469-709-8231
Fax Number : 469-608-8797
Provider Business Practice Location Address
First Line : 2930 S BUCKNER BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75227-6907
Country : US
Telephone Number : 469-709-8231
Fax Number : 469-608-8797
Authorized Official
Title or Position : OWNER
Name : MITESH MARADIA
Credential :
Telephone Number : 469-709-8231
Provider Enumeration Date : 06/14/2021
Last Update Date : 12/28/2021

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Directions to “WELLRX PHARMACY INC ” Practice Location

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