Wellstreet Of Georgia PC
Non-Pharmacy Dispensing Site in Twinsburg, OH. Organization (NPI-2).
NPI number1053192534
StatusActive
Last updated in NPPESOct 18, 2023
Details
- NPI
- 1053192534
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellstreet Of Georgia PC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2023
- Certification date
- Oct 18, 2023
- Last updated
- Oct 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | – | Yes |
Practice location
2700 E Aurora Rd Ste FTwinsburg, OH 44087-6818
Phone 330-476-5510 · Fax 330-476-5511
Mailing address
2700 E Aurora Rd Ste FTwinsburg, OH 44087-6818
Phone 330-476-5510 · Fax 330-476-5511
Authorized official
Katie Mons
District Manager
7705022121
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