Organization
WHEELER COUNTY DRUG COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKELY SUTTON DENNARD RPH (OWNER)
(478) 279-2582
Entity
Organization
Contact information
Practice address
114 E SECOND AVE, GLENWOOD, GA 30428-3626
(912) 523-2040
(912) 523-2041
Mailing address
114 E SECOND AVE, GLENWOOD, GA 30428-3626
(912) 523-2040
(912) 523-2041
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHRE010371
GA
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010371
GA
Other
Enumeration date
08/05/2017
Last updated
07/21/2022
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