# BLACKWELL DYNAMICS LLC

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

## Provider details

- **NPI number:** 1861328163
- **Authorized official:** AZAUNTTI EDWARDS (ORGANIZER)
- **Authorized official phone:** (678) 879-2819

## Contact information

- **Practice address:** 301 GARLINGTON AVE APT 22, WAYCROSS, GA 31503-2709
- **Practice address phone:** (678) 879-2819
- **Mailing address:** 2021 N SLAPPEY BLVD \# 169, ALBANY, GA 31701-1001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/23/2026
- **Last updated:** 06/23/2026