Organization · Type 2 NPI

Wellstreet of Georgia PC

Non-Pharmacy Dispensing Site · Lakewood, OH

NPI number 1902687759 Active

Practice location

14800 Madison Ave
Lakewood, OH 44107-4010

Fax (216) 925-4601

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.)

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About NPI 1902687759

Wellstreet of Georgia PC's National Provider Identifier is 1902687759, issued on Oct 9, 2023. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Lakewood, OH. The record was last updated on Oct 18, 2023.