# WENDER & ROBERTS ASSISTED LIVING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376702498
- **Authorized official:** MR. CAREY C. COGGINS RPH (MANAGER)
- **Authorized official phone:** (770) 992-7300

## Contact information

- **Practice address:** 10930 CRABAPPLE RD, SUITE 7 B, ROSWELL, GA 30075-5813
- **Practice address phone:** (770) 992-7300
- **Mailing address:** 10930 CRABAPPLE RD, SUITE 7 B, ROSWELL, GA 30075-5813
- **Mailing address phone:** (770) 992-7300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PHRE009446 | GA | Yes |

## Other

- **Enumeration date:** 06/04/2008
- **Last updated:** 06/04/2008