Provider Demographics
NPI:1003382870
Name:AMALFI LLC
Entity Type:Organization
Organization Name:AMALFI LLC
Other - Org Name:WECARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONAK
Authorized Official - Middle Name:
Authorized Official - Last Name:BALAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-783-8300
Mailing Address - Street 1:14823 SOUTHWEST FWY STE B
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5016
Mailing Address - Country:US
Mailing Address - Phone:281-783-8300
Mailing Address - Fax:281-783-8337
Practice Address - Street 1:14823 SOUTHWEST FWY STE B
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5016
Practice Address - Country:US
Practice Address - Phone:281-783-8300
Practice Address - Fax:281-783-8337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-19
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy