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G. WILSON ENTERPRISEINC. NPI 1689715930


NPI Information

NPI: 1689715930
Provider Name: G. WILSON ENTERPRISE,INC.

Doing Business As: THE MEDICINE SHOPPE PHARMACY #1774

Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
2416 WINDSOR SPRING RD
AUGUSTA, GA
ZIP 30906
Phone: (706) 772-7155
Get Directions

G. WILSON ENTERPRISE,INC. is a pharmacist in Augusta, GA. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. G. WILSON ENTERPRISE,INC. NPI is 1689715930. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As The Medicine Shoppe Pharmacy #1774.

The provider's business location address is:

2416 WINDSOR SPRING RD
AUGUSTA, GA
ZIP 30906-666
Phone: (706) 772-7155
Fax: (706) 772-7149

The provider's authorized official is Griselda Wilson .
The authorized official title is Pharmacist,owner and has the following contact phone number (706) 772-7155.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacistRPH018959GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17G8531MEDICAIDSOUTH CAROLINA
200921566AMEDICAIDGEORGIA
31407801566OTHERGEORGIANPI PROVIDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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