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Wellstreet Of Georgia Pc
Non-Pharmacy Dispensing Site in Loganville, Georgia
NPI 1861980955

Wellstreet Of Georgia Pc is a Non-Pharmacy Dispensing Site based in Atlanta, GA. Wellstreet Of Georgia Pc practices in Loganville, GA. The NPI Number for Wellstreet Of Georgia Pc is 1861980955 and holds a License No. (Georgia).

The current practice location address for Wellstreet Of Georgia Pc is 4763 Atlanta Hwy Ste 420, Loganville, GA and can be reached out via phone at 470-395-6793.

Location: 4763 Atlanta Hwy Ste 420, Loganville, GA, 30339-3300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861980955
Provider Name
Wellstreet Of Georgia Pc
Credential
Provider Entity Type
Organization
Address
4763 Atlanta Hwy Ste 420, Loganville, GA, 30339-3300
Phone Number
470-395-6793
Fax Number
Provider Enumeration Date
04/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003179873A 05 GA
institution
Provider Business Practice Location Address Details
Address
4763 Atlanta Hwy Ste 420
City
Loganville
State
Georgia
Zip
30052-6788
Phone Number
470-395-6793
Fax Number
person
Provider Business Mailing Address Details
Address
4763 Atlanta Hwy Ste 420
City
Loganville
State
Georgia
Zip
30052-6788
Phone Number
470-395-6793
Fax Number
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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