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General NPI Number Information
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NPI Number | 1992738686
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Entity Type | Organization
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Legal Business Name | WB DRUGS, INC.
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 1205 E SHOTWELL ST
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City | BAINBRIDGE
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State | GA
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Zip | 39819-4237
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Country | US
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Telephone | 229-246-1000
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Fax | 229-246-5643
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Provider Business Mailing Address
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Address Line | 1205 E SHOTWELL ST STE A
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City | BAINBRIDGE
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State | GA
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Zip | 39819-4237
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Country | US
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Telephone | 229-246-1000
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Fax | 229-246-5643
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Authorized Official
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Title or Position | PRESIDENT
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Name | WINSTON BROCK
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Credential |
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Telephone | 229-246-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHRE006828
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHRE006828
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PHRE006828
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | PHRE006828
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | PHRE006828
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE006828
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License Number State | GA
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