Provider Demographics
NPI:1770343170
Name:WELLINGS, FAITH SANDS (PHARMD)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:SANDS
Last Name:WELLINGS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:RACHEAL
Other - Last Name:SANDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:60 BENSON HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:TUNKHANNOCK
Mailing Address - State:PA
Mailing Address - Zip Code:18657-1760
Mailing Address - Country:US
Mailing Address - Phone:617-816-2492
Mailing Address - Fax:
Practice Address - Street 1:1800 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510-2369
Practice Address - Country:US
Practice Address - Phone:617-816-2492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044833L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist