Shweta Woodsmall, PHARM D

Individual provider Active NPI Pharmacist · Clermont, GA

NPI 1285033357 · NPPES record last updated Jul 22, 2015

Key facts

NPI
1285033357
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RPH028054 (GA)
Practice address
5233 Cleveland Hwy
Clermont, GA 30527-2205
Phone
(770) 983-9556
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH028054GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wauka Mountain Pharmacy Inc Current Accepting new patients

Locations

5233 Cleveland Hwy
Clermont, GA 30527
Phone (770) 983-9556

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH028054 GA Yes

Addresses

Primary practice location

5233 Cleveland Hwy
Clermont, GA 30527-2205

Mailing address

5233 Cleveland Hwy
Clermont, GA 30527-2205
Phone (770) 983-9556

Other providers in Clermont, GA

All providers in Clermont, GA · Pharmacist in Georgia

Sources for this page

Verify at the official NPI Registry.