Organization
WILSON'S PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANTHONY WELLS RPH (PRESIDENT)
(478) 237-8835
Entity
Organization
Contact information
Practice address
104 S GREEN ST, SWAINSBORO, GA 30401-3131
(478) 237-8835
(478) 237-9510
Mailing address
104 S GREEN ST, SWAINSBORO, GA 30401-3131
(478) 237-8835
(478) 237-9510
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
006105
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000261071A
—
GA
Enumeration date
04/15/2006
Last updated
07/24/2014
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