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Wellstreet Of Georgia Pc
Non-Pharmacy Dispensing Site in Conyers, Georgia
NPI 1063061315

Wellstreet Of Georgia Pc is a Non-Pharmacy Dispensing Site based in Atlanta, GA. Wellstreet Of Georgia Pc practices in Conyers, GA. The NPI Number for Wellstreet Of Georgia Pc is 1063061315 and holds a License No. (Georgia).

The current practice location address for Wellstreet Of Georgia Pc is 1280 Dogwood Dr Se, Conyers, GA and can be reached out via phone at 404-994-4662 and via fax at 404-994-4663.

Location: 1280 Dogwood Dr Se, Conyers, GA, 30339-3300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063061315
Provider Name
Wellstreet Of Georgia Pc
Credential
Provider Entity Type
Organization
Address
1280 Dogwood Dr Se, Conyers, GA, 30339-3300
Phone Number
404-994-4662
Fax Number
404-994-4663
Provider Enumeration Date
09/10/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003137211A 05 GA
institution
Provider Business Practice Location Address Details
Address
1280 Dogwood Dr Se
City
Conyers
State
Georgia
Zip
30013-5046
Phone Number
404-994-4662
Fax Number
404-994-4663
person
Provider Business Mailing Address Details
Address
1280 Dogwood Dr Se
City
Conyers
State
Georgia
Zip
30013-5046
Phone Number
404-994-4662
Fax Number
404-994-4663
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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