Wellpharm LLC

NPI #1104960202 in Canton, Georgia

Provider Information

NPI Number: 1104960202
Entity Type: Organization
Organization Name: Wellpharm LLC
Primary Specialty: Pharmacist
Enumeration Date: Feb 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2260 HOLLY SPRINGS PKWY
Address 2: SUITE 180
City: Canton
State: Georgia
ZIP Code: 30115-9580
Phone: (770) 704-6161

Authorized Official

Name: MR. DALE M COKER, RPH
Title: MANAGER PHARMACIST IN CHARGE
Phone: (770) 704-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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