Individual
MR. BENJAMIN RANDOLPH WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
410 DARLING AVE, WAYCROSS, GA 31501-5246
(912) 287-2506
(912) 287-2505
Mailing address
115 MYRA ST, ALMA, GA 31510-1550
(912) 632-8160
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10455
GA
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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