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Wellstreet Of Georgia Pc
Non-Pharmacy Dispensing Site in Ellenwood, Georgia
NPI 1619624681

Wellstreet Of Georgia Pc is a Non-Pharmacy Dispensing Site based in Ellenwood, GA. Wellstreet Of Georgia Pc practices in Ellenwood, GA. The NPI Number for Wellstreet Of Georgia Pc is 1619624681 and holds a License No. (Georgia).

The current practice location address for Wellstreet Of Georgia Pc is 4475 W Village Pkwy, Ellenwood, GA and can be reached out via phone at 770-507-7950 and via fax at 770-507-7978.

Location: 4475 W Village Pkwy, Ellenwood, GA, 30294-2869
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619624681
Provider Name
Wellstreet Of Georgia Pc
Credential
Provider Entity Type
Organization
Address
4475 W Village Pkwy, Ellenwood, GA, 30294-2869
Phone Number
770-507-7950
Fax Number
770-507-7978
Provider Enumeration Date
03/09/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4475 W Village Pkwy
City
Ellenwood
State
Georgia
Zip
30294-2869
Phone Number
770-507-7950
Fax Number
770-507-7978
person
Provider Business Mailing Address Details
Address
4475 W Village Pkwy
City
Ellenwood
State
Georgia
Zip
30294-2869
Phone Number
770-507-7950
Fax Number
770-507-7978
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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