WPH LLC
Organization Active NPI Community/Retail Pharmacy · Lookout MTN, GA
NPI 1649908252 · NPPES record last updated Aug 11, 2022
Key facts
- NPI
- 1649908252
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- WPH LLC
- Practice address
- 100 McFarland Rd
Lookout MTN, GA 30750-3194 - Phone
- (423) 718-8521
- NPI assigned
- Aug 11, 2022
- Organization subpart
- No
Authorized official
- Name
- Dustin Beard
- Title
- Owner
- Phone
- (423) 718-8521
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
100 McFarland Rd
Lookout MTN, GA 30750-3194
Mailing address
100 McFarland Rd
Lookout MTN, GA 30750-3194
Phone (423) 718-8521
Other names
- Fairyland Pharmacy
Other providers in Lookout MTN, GA
All providers in Lookout MTN, GA · Community/Retail Pharmacy in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.