Organization · Type 2 NPI

Wellstreet of Georgia PC

Non-Pharmacy Dispensing Site · Ellenwood, GA

NPI number 1619624681 Active

Practice location

4475 W Village Pkwy
Ellenwood, GA 30294-2869

Call (770) 507-7950 Map

Fax (770) 507-7978

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone 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.)

5 other providers at this address

About NPI 1619624681

Wellstreet of Georgia PC's National Provider Identifier is 1619624681, issued on Mar 9, 2022. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Ellenwood, GA. The record was last updated on Mar 9, 2022.