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Organization
WILKES APOTHECARY
Active
Organization
WILKES APOTHECARY
Active
Other names
Fievet Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA PIELA (OWNER)
(706) 678-2260
Entity
Organization
Contact information
Practice address
115 E ROBERT TOOMBS AVE, WASHINGTON, GA 30673-1737
(706) 678-2260
(706) 678-4545
Mailing address
PO BOX 1009, WASHINGTON, GA 30673-1009
(706) 678-2260
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
333600000X
Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PHRE009883
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2178039
PK
—
Enumeration date
06/11/2018
Last updated
06/11/2018
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