Provider Demographics
NPI:1659821361
Name:J W PLATT, RPH, LLC
Entity Type:Organization
Organization Name:J W PLATT, RPH, LLC
Other - Org Name:THE WELLNESS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WING
Authorized Official - Last Name:PLATT
Authorized Official - Suffix:
Authorized Official - Credentials:BSPHARM
Authorized Official - Phone:540-723-6883
Mailing Address - Street 1:443 CANYON RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-7048
Mailing Address - Country:US
Mailing Address - Phone:540-723-6883
Mailing Address - Fax:540-723-9704
Practice Address - Street 1:2228 PAPERMILL RD
Practice Address - Street 2:SUITE E
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3681
Practice Address - Country:US
Practice Address - Phone:540-723-6883
Practice Address - Fax:540-723-9704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202006257333600000X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy