Provider Demographics
NPI:1982311999
Name:WFS HOME CARE ENTERPRISES INC
Entity Type:Organization
Organization Name:WFS HOME CARE ENTERPRISES INC
Other - Org Name:AT HOME HARMONY PHARMACY (RETAIL)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF PHARMACY SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:TABATHA
Authorized Official - Middle Name:NICOLE TALBOTT
Authorized Official - Last Name:BONAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:571-208-3303
Mailing Address - Street 1:1504 SANTA ROSA RD RM 116B
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5109
Mailing Address - Country:US
Mailing Address - Phone:804-210-3103
Mailing Address - Fax:
Practice Address - Street 1:1504 SANTA ROSA RD RM 116B
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-5109
Practice Address - Country:US
Practice Address - Phone:804-210-3103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WFS HOME CARE ENTERPRISES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-31
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy