MEDICARE: WF THOMAS DRUGS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PHRE005019	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2150621	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134140189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WF THOMAS DRUGS INC

Provider Business Mailing Address
First Line	:	2704 JEFFERSON ST
Second Line	:
City	:	AUSTELL
State	:	GA
Zip	:	30168-4014
Country	:	US
Telephone Number	:	770-944-3100
Fax Number	:	770-944-8980

Provider Business Practice Location Address
First Line	:	2704 JEFFERSON ST
Second Line	:
City	:	AUSTELL
State	:	GA
Zip	:	30168-4014
Country	:	US
Telephone Number	:	770-944-3100
Fax Number	:	770-944-8980

Authorized Official
Title or Position	:	MANAGER
Name	:	ASHLEY RAY
Credential	:
Telephone Number	:	770-944-3100

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	04/11/2018

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Directions to “WF THOMAS DRUGS INC ” Practice Location

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