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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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