Provider Demographics
NPI:1932967437
Name:WELL HEALTH PHARMACY INC.
Entity type:Organization
Organization Name:WELL HEALTH PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ZUMBA-SALAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-556-3121
Mailing Address - Street 1:10844 SUTPHIN BLVD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-5444
Mailing Address - Country:US
Mailing Address - Phone:929-556-3121
Mailing Address - Fax:929-556-3122
Practice Address - Street 1:10844 SUTPHIN BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-5444
Practice Address - Country:US
Practice Address - Phone:929-556-3121
Practice Address - Fax:929-556-3122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy