Provider Demographics
NPI:1154637551
Name:W.A.P. PHARMACY INC
Entity type:Organization
Organization Name:W.A.P. PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WESLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-496-0338
Mailing Address - Street 1:437 E ATLANTIC BLVD STE 1A-1B
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-6214
Mailing Address - Country:US
Mailing Address - Phone:561-496-0338
Mailing Address - Fax:561-496-0832
Practice Address - Street 1:437 E ATLANTIC BLVD STE 1A-1B
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6214
Practice Address - Country:US
Practice Address - Phone:561-496-0338
Practice Address - Fax:561-496-0832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH49387333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy