Provider Demographics
NPI:1851953319
Name:WELLNESS DRUGS CORP
Entity Type:Organization
Organization Name:WELLNESS DRUGS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-862-4464
Mailing Address - Street 1:3216 3RD AVE
Mailing Address - Street 2:STORE #2
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-4201
Mailing Address - Country:US
Mailing Address - Phone:347-862-4464
Mailing Address - Fax:347-862-4465
Practice Address - Street 1:3216 3RD AVE
Practice Address - Street 2:STORE #2
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-4201
Practice Address - Country:US
Practice Address - Phone:347-862-4464
Practice Address - Fax:347-862-4465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-05
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy