Healthcare Provider Details

I. General information

NPI: 1285650861
Provider Name (Legal Business Name): POLARIS PHARMACY SERVICES OF WARRINGTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 TITUS AVE
WARRINGTON PA
18976-2424
US

IV. Provider business mailing address

2900 NW 60TH ST
FORT LAUDERDALE FL
33309-1774
US

V. Phone/Fax

Practice location:
  • Phone: 267-487-8900
  • Fax: 267-487-8960
Mailing address:
  • Phone: 800-589-9747
  • Fax: 943-923-9261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPP481213
License Number StatePA

VIII. Authorized Official

Name: GINA HUNT
Title or Position: DIRECTOR OF REGULATORY
Credential:
Phone: 800-589-9747