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Wellstreet Of Georgia PC

Non-Pharmacy Dispensing Site in Parma, OH. Organization (NPI-2).

NPI number1215768700
StatusActive
Last updated in NPPESAug 8, 2024

Details

NPI
1215768700
Entity type
Organization (NPI-2)
Legal business name
Wellstreet Of Georgia PC
Organization subpart
No
Enumeration date
Aug 8, 2024
Certification date
Aug 1, 2024
Last updated
Aug 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332900000X Non-Pharmacy Dispensing Site––Yes

Practice location

1634 Snow Rd
Parma, OH 44134

Phone 440-368-1520

Mailing address

1634 Snow Rd
Parma, OH 44134

Phone 440-368-1520

Authorized official

Katie Mons
Dm
7705022121

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