Provider Demographics
NPI:1073256137
Name:WFS HOME CARE ENTERPRISES, INC. DBA AT HOME HARMONY PHARMACY LTC
Entity Type:Organization
Organization Name:WFS HOME CARE ENTERPRISES, INC. DBA AT HOME HARMONY PHARMACY LTC
Other - Org Name:WFS HOME CARE ENTERPRISES, INC DBA SYNERGY PHARMACY SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TABATHA
Authorized Official - Middle Name:NICOLE TALBOTT
Authorized Official - Last Name:BONAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:804-210-3103
Mailing Address - Street 1:1504 SANTA ROSA RD RM 116
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5109
Mailing Address - Country:US
Mailing Address - Phone:804-210-3103
Mailing Address - Fax:804-655-5978
Practice Address - Street 1:1504 SANTA ROSA RD RM 116
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-5109
Practice Address - Country:US
Practice Address - Phone:571-208-3303
Practice Address - Fax:804-655-5978
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WFS HOME CARE ENTERPRISES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-17
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy