Wyatt'S Pharmacy

LBN: Wyatts Pharmacy, Llc
Wyatt'S Pharmacy is an health care organization with primary practice located at 10671 Veterans Memorial Hwy , Lithia Springs GA 30122-2062. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Wyatts Pharmacy, Llc can be contacted via phone (770) 948-8825, or through Harville, Kelsey R via phone (770) 948-8825.

Contact Information

Primary practice address
10671 Veterans Memorial Hwy Lithia Springs GA 30122-2062
Phone: (770) 948-8825
Fax: (770) 948-8848
Website:
Map and Directions
Authorized official contact:
Name: Harville, Kelsey R
Phone: (770) 948-8825

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE010408 Georgia

Profile Details

NPI number 1649215229
LBN Legal business name Wyatts Pharmacy, Llc
DBA Doing business as Wyatt'S Pharmacy
Authorized official Harville, Kelsey R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Jun 21st, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649215229 NPPES
Georgia MEDICAID 00440646A
Georgia Other 2012556

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