Provider Demographics
NPI:1730757931
Name:WELLRX PHARMACY INC
Entity type:Organization
Organization Name:WELLRX PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MITESH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARADIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-709-8231
Mailing Address - Street 1:2930 S BUCKNER BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-6907
Mailing Address - Country:US
Mailing Address - Phone:469-709-8231
Mailing Address - Fax:469-608-8797
Practice Address - Street 1:2930 S BUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-6907
Practice Address - Country:US
Practice Address - Phone:469-709-8231
Practice Address - Fax:469-608-8797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX33822OtherBOARD OF PHARMACY