Provider Demographics
NPI:1891102448
Name:WELCARE PHARMACY LLC
Entity Type:Organization
Organization Name:WELCARE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GITA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAVANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-428-8930
Mailing Address - Street 1:693 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07501-2375
Mailing Address - Country:US
Mailing Address - Phone:973-925-7757
Mailing Address - Fax:973-925-7758
Practice Address - Street 1:693 E 18TH ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07501-2375
Practice Address - Country:US
Practice Address - Phone:973-925-7757
Practice Address - Fax:973-925-7758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-15
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00734400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty