Provider Demographics
NPI:1831735992
Name:WP PHARMA LABS, INC.
Entity type:Organization
Organization Name:WP PHARMA LABS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAREN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, JD
Authorized Official - Phone:617-435-7375
Mailing Address - Street 1:4001 MCEWEN RD STE 110
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-5388
Mailing Address - Country:US
Mailing Address - Phone:469-722-4500
Mailing Address - Fax:469-722-5500
Practice Address - Street 1:4001 MCEWEN RD STE 110
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-5388
Practice Address - Country:US
Practice Address - Phone:469-722-4500
Practice Address - Fax:469-722-5500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy