# WHEELER COUNTY DRUG COMPANY

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

## Provider details

- **NPI number:** 1992220420
- **Authorized official:** BLAKELY SUTTON DENNARD RPH (OWNER)
- **Authorized official phone:** (478) 279-2582

## Contact information

- **Practice address:** 114 E SECOND AVE, GLENWOOD, GA 30428-3626
- **Practice address phone:** (912) 523-2040
- **Practice address fax:** (912) 523-2041
- **Mailing address:** 114 E SECOND AVE, GLENWOOD, GA 30428-3626
- **Mailing address phone:** (912) 523-2040
- **Mailing address fax:** (912) 523-2041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PHRE010371 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE010371 | GA | Yes |

## Other

- **Enumeration date:** 08/05/2017
- **Last updated:** 07/21/2022