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WELLCARE PHARMACY & HOME INFUSION LLC

Medical Equipment Supplier Yellow Pages

Bossier City, Louisiana

Provider NPI: 1811011620

Organization Information:
Organization Name:  WELLCARE PHARMACY & HOME INFUSION LLC


Practice Location:
4160 AIRLINE DR  BOSSIER CITY, LA 71111 US
Tel: 318-212-9990  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
LA1235679
Y3336C0003XSuppliers
Pharmacy
6168-IR

Other Provider Identifiers:

IssuerNumberStateType
1235679LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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