Organization · Type 2 NPI
Wellstreet of Georgia PC
Non-Pharmacy Dispensing Site · Avon, OH
NPI number
1013798594
Active
Practice location
36320 Detroit Road, Suite 100
Avon, OH 44011-2834
Fax (440) 540-4250
Mailing address
1997 Healthway Dr Ste 101
Avon, OH 44011-2834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | None listed |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
About NPI 1013798594
Wellstreet of Georgia PC's National Provider Identifier is 1013798594, issued on Oct 10, 2023. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Avon, OH. The record was last updated on Aug 8, 2024.