Provider Demographics
NPI:1801364575
Name:PHARMA HAIR UNIT LLC
Entity Type:Organization
Organization Name:PHARMA HAIR UNIT LLC
Other - Org Name:PHARMA HAIR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:WONSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-595-8065
Mailing Address - Street 1:12301 LAKE UNDERHILL RD
Mailing Address - Street 2:STE 126 STUDIO 21
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828
Mailing Address - Country:US
Mailing Address - Phone:407-595-8065
Mailing Address - Fax:
Practice Address - Street 1:12301 LAKE UNDERHILL RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-4508
Practice Address - Country:US
Practice Address - Phone:407-758-8298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHARMA HAIR UNIT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-11
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty