Healthcare Provider Details

I. General information

NPI: 1265440119
Provider Name (Legal Business Name): POLARIS PHARMACY SERVICES OF WARRINGTON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 EASTON ROAD
WARRINGTON PA
18976
US

IV. Provider business mailing address

2900 NW 60 STREET
FORT LAUDERDALE FL
33309
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-3225
  • Fax: 267-487-8976
Mailing address:
  • Phone: 800-589-9747
  • Fax: 954-923-9261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP416054L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPP416054L
License Number StatePA

VIII. Authorized Official

Name: DAVID ROMBRO
Title or Position: CEO
Credential:
Phone: 800-589-9747