Organization · Type 2 NPI

Wauka Mountain Pharmacy Inc

Community/Retail Pharmacy · Clermont, GA

NPI number 1205982352 Active

Practice location

5233 Cleveland Hwy
Clermont, GA 30527-2205

Call (770) 983-9556 Map

Fax (770) 983-9580

Mailing address

PO Box 410
Clermont, GA 30527-0410

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHRE006914 (GA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

Another provider at this address

Shweta Woodsmall, PHARM DPharmacist Clermont, GA NPI 1285033357

NPI record

NPI: 1205982352
Entity type: Organization (Type 2)
Issued: Jan 25, 2007
Last updated: Jun 18, 2019
Status: Active

Other names

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Wauka Mountain Pharmacy · doing business as
Wauka Mountain Pharmacy · doing business as

Authorized official

Shweta Woodsmall, PharmD
Owner / Pharmacist
(770) 983-9556

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205982352

Wauka Mountain Pharmacy Inc's National Provider Identifier is 1205982352, issued on Jan 25, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Clermont, GA. The record was last updated on Jun 18, 2019.