Provider Demographics
NPI:1154800720
Name:WELLNESS PHARMACY SERVICES LLC
Entity type:Organization
Organization Name:WELLNESS PHARMACY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAYLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-277-7132
Mailing Address - Street 1:1427 HORSHAM RD
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-1320
Mailing Address - Country:US
Mailing Address - Phone:215-277-7132
Mailing Address - Fax:215-277-7135
Practice Address - Street 1:1427 HORSHAM ROAD
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-3120
Practice Address - Country:US
Practice Address - Phone:215-277-7132
Practice Address - Fax:215-277-7135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-14
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No333600000XSuppliersPharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy