Organization
WAYFIELD PHARMACY INC.
Active
Other names
WAYFIELD PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
CHINWE BIBI NWABUDE PHARMACY (CREDENTIALING SPECIALIST/PHARMACIST)
(770) 993-5520
Entity
Organization
Contact information
Practice address
3050 MARTIN LUTHER KING JR DR SW, UNIT H, ATLANTA, GA 30311-1500
(404) 699-9000
(404) 699-9111
Mailing address
PO BOX 767757, ROSWELL, GA 30076-7757
(770) 993-5520
(770) 993-5521
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010407
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170302
PK
—
Enumeration date
07/27/2017
Last updated
07/19/2018
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