Organization
W & W SMITH PHARMACIES INC
Active
Other names
MEDICAL PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL SMITH (PRESIDENT)
(478) 272-8065
Entity
Organization
Contact information
Practice address
2406 BELLEVUE RD, DUBLIN, GA 31021
(478) 272-8065
(478) 272-8065
Mailing address
2406 BELLEVUE RD, DUBLIN, GA 31021
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006120
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00521045A
—
GA
01
—
1123962
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
04/22/2011
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