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General NPI Number Information
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NPI Number | 1649215229
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Entity Type | Organization
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Legal Business Name | WYATT'S RX LLC
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 10671 VETERANS MEMORIAL HWY
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122-2062
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Country | US
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Telephone | 770-948-8825
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Fax | 770-948-8848
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Provider Business Mailing Address
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Address Line | 10671 VETERANS MEMORIAL HWY
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122-2062
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Country | US
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Telephone | 770-948-8825
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Fax | 770-948-8848
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Authorized Official
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Title or Position | OWNER
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Name | SWETA P JOINES
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Credential | PHARMD
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Telephone | 706-975-9581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE010408
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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