Provider Demographics
NPI:1790045292
Name:WECARE PHARMACEUTICAL SERVICES INC
Entity type:Organization
Organization Name:WECARE PHARMACEUTICAL SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS HUNG WAI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:909-936-2502
Mailing Address - Street 1:2121 N D ST
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92405-3915
Mailing Address - Country:US
Mailing Address - Phone:877-301-0636
Mailing Address - Fax:909-494-5582
Practice Address - Street 1:2121 N D ST
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92405-3915
Practice Address - Country:US
Practice Address - Phone:877-301-0636
Practice Address - Fax:909-494-5582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-18
Last Update Date:2024-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY 50936333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY59373OtherCALIFORNIA STATE BOARD OF PHARMACY
CA7455750001Medicare NSC