# BENNETT'S HOMETOWN PHARMACY - WAYNESVILLE, LLC

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

## Provider details

- **NPI number:** 1598969271
- **Authorized official:** MRS. DENISE BENNETT R.PH. (PHARMACIST)
- **Authorized official phone:** (912) 462-3784

## Contact information

- **Practice address:** 26826 HWY 82, WAYNESVILLE, GA 31566
- **Practice address phone:** (912) 778-3784
- **Mailing address:** PO BOX 1321, NAHUNTA, GA 31553-1321
- **Mailing address phone:** (912) 778-3784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PHRE009147 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE009147 | GA | Yes |

## Other

- **Enumeration date:** 06/14/2007
- **Last updated:** 07/06/2015