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Organization

WPH LLC

Active
Other names
Fairyland Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DUSTIN BEARD (OWNER)
(423) 718-8521
Entity
Organization

Contact information

Practice address
100 MCFARLAND RD, LOOKOUT MTN, GA 30750-3194
(423) 718-8521
Mailing address
100 MCFARLAND RD, LOOKOUT MTN, GA 30750-3194
(423) 718-8521

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
08/11/2022
Last updated
08/11/2022
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