Individual provider · Type 1 NPI

Wildy Metellus, PharmD

Pharmacist · Atlanta, GA

NPI number 1124615422 Active

Practice location

2345 Peachtree Rd NE # 2345
Atlanta, GA 30305-4147

Mailing address

2345 Peachtree Rd NE
Atlanta, GA 30305-4147

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XPS61841 (FL)
Pharmacist Primary 183500000XRPH032628 (GA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1124615422

Wildy Metellus, PharmD's National Provider Identifier is 1124615422, issued on Dec 22, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Atlanta, GA. The record was last updated on Dec 22, 2020.