MEDICARE: WENDER & ROBERTS, 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	3336C0003X	Community/Retail Pharmacy	2898	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1700947140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WENDER & ROBERTS, INC

Provider Business Mailing Address
First Line	:	11285 ELKINS RD
Second Line	:	SUITE K-4
City	:	ROSWELL
State	:	GA
Zip	:	30076-1259
Country	:	US
Telephone Number	:	770-442-3504
Fax Number	:	770-442-3506

Provider Business Practice Location Address
First Line	:	7306 ROSWELL RD NE
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-1422
Country	:	US
Telephone Number	:	770-393-0200
Fax Number	:	770-393-0204

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DONALD WENDER
Credential	:
Telephone Number	:	770-442-3504

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	08/22/2020

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