Provider Demographics
NPI:1932720174
Name:WARRINGTON WELLNESS AND COMPOUNDING PHARMACY
Entity Type:Organization
Organization Name:WARRINGTON WELLNESS AND COMPOUNDING PHARMACY
Other - Org Name:WARRINGTON WELLNESS RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:YAMBAO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:757-800-8813
Mailing Address - Street 1:805 KENT PL STE 104
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-0768
Mailing Address - Country:US
Mailing Address - Phone:757-800-8813
Mailing Address - Fax:
Practice Address - Street 1:805 KENT PL STE 104
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-0768
Practice Address - Country:US
Practice Address - Phone:757-800-8813
Practice Address - Fax:757-800-8683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-28
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy