NPI | 1154845642 |
---|---|
Doing Business As | WAYFIELD PHARMACY INC |
Entity Type | Organization |
Authorized Contact | CHINWE BIBI NWABUDE Credentialing Specialist/Pharmacist 770-993-5520 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010407) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2017-07-27 |
Last Update Date | 2018-07-19 |