Healthcare Provider Details

I. General information

NPI: 1639225063
Provider Name (Legal Business Name): WARD'S PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 08/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 S PUBLIC SQ
ELBERTON GA
30635-2448
US

IV. Provider business mailing address

8 S PUBLIC SQ
ELBERTON GA
30635-2448
US

V. Phone/Fax

Practice location:
  • Phone: 706-283-1412
  • Fax: 706-283-5144
Mailing address:
  • Phone: 706-283-1412
  • Fax: 706-283-5144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT PATRIC WARD
Title or Position: PHARMACIST OWNER
Credential: RPH
Phone: 706-283-1412