# WILKES APOTHECARY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fievet Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740773167
- **Authorized official:** CYNTHIA PIELA (OWNER)
- **Authorized official phone:** (706) 678-2260

## Contact information

- **Practice address:** 115 E ROBERT TOOMBS AVE, WASHINGTON, GA 30673-1737
- **Practice address phone:** (706) 678-2260
- **Practice address fax:** (706) 678-4545
- **Mailing address:** PO BOX 1009, WASHINGTON, GA 30673-1009
- **Mailing address phone:** (706) 678-2260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHRE009883 | GA | Yes |

## Other

- **Enumeration date:** 06/11/2018
- **Last updated:** 06/11/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2178039 | PK | — |