Wellmart Rx, Inc.
NPI #1023488681 in Queens Village, New York
Provider Information
- NPI Number
- 1023488681
- Entity Type
- Organization
- Organization Name
- Wellmart Rx, Inc.
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 25, 2015
- Last Updated
- Sep 20, 2016
Practice Location
- Address
- 21913 JAMAICA AVE
- City
- Queens Village
- State
- New York
- ZIP Code
- 11428-2126
- Phone
- (718) 704-0808
Authorized Official
- Name
- SIMON DAVYDOV
- Title
- PRESIDENT
- Phone
- (718) 704-0808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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