Provider Demographics
NPI:1629722582
Name:WECARE PHARMACY CORP.
Entity Type:Organization
Organization Name:WECARE PHARMACY CORP.
Other - Org Name:WILLIS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:WEIWEI
Authorized Official - Middle Name:
Authorized Official - Last Name:FOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:918-829-9627
Mailing Address - Street 1:123 DEER CROSSING
Mailing Address - Street 2:
Mailing Address - City:CONNE
Mailing Address - State:TX
Mailing Address - Zip Code:77384
Mailing Address - Country:US
Mailing Address - Phone:936-286-3288
Mailing Address - Fax:936-286-3289
Practice Address - Street 1:9851 FM 1097 RD W STE 195
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77318-5851
Practice Address - Country:US
Practice Address - Phone:936-286-3288
Practice Address - Fax:936-286-3289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-09
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX20033351Medicaid