Latoshia S. Wells, PHARMD

Individual provider Active NPI Pharmacist · Wrightsville, GA

NPI 1881027191 · NPPES record last updated Aug 11, 2013

Key facts

NPI
1881027191
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RPH027387 (GA)
Practice address
343 W Trilby St
Wrightsville, GA 31096-2142
Phone
(478) 864-9717
NPI assigned
Aug 11, 2013
Sex
Female
Sole proprietor
No

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
RPH027387GAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH027387 GA Yes

Addresses

Primary practice location

343 W Trilby St
Wrightsville, GA 31096-2142

Mailing address

343 W Trilby St
Wrightsville, GA 31096-2142

Other providers in Wrightsville, GA

All providers in Wrightsville, GA · Pharmacist in Georgia

Sources for this page

Verify at the official NPI Registry.