Healthcare Provider Details

I. General information

NPI: 1992738686
Provider Name (Legal Business Name): WB DRUGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 E SHOTWELL ST
BAINBRIDGE GA
39819-4237
US

IV. Provider business mailing address

1205 E SHOTWELL ST STE A
BAINBRIDGE GA
39819-4237
US

V. Phone/Fax

Practice location:
  • Phone: 229-246-1000
  • Fax: 229-246-5643
Mailing address:
  • Phone: 229-246-1000
  • Fax: 229-246-5643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPHRE006828
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License NumberPHRE006828
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberPHRE006828
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHRE006828
License Number StateGA
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHRE006828
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPHRE006828
License Number StateGA

VIII. Authorized Official

Name: WINSTON BROCK
Title or Position: PRESIDENT
Credential:
Phone: 229-246-1000