HOLCOMB BRIDGE WELLNESS PHARMACY INC NPI 1770041956

NPI Information

  • NPI: 1770041956
  • Provider Name: HOLCOMB BRIDGE WELLNESS PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Address: 861 HOLCOMB BRIDGE RD STE 101
    ROSWELL, GA
    ZIP 30076
  • Phone: (470) 297-5749

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NPI Details

HOLCOMB BRIDGE WELLNESS PHARMACY INC is a community/retail pharmacy pharmacy in Roswell, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. HOLCOMB BRIDGE WELLNESS PHARMACY INC NPI is 1770041956. The provider is registered as an organization entity type.

The provider's business location address is:

861 HOLCOMB BRIDGE RD STE 101
ROSWELL, GA
ZIP 30076-900
Phone: (470) 297-5749
Fax: (470) 297-5758

The provider's authorized official is Dr Anselm Kwaku Addo .
The authorized official title is President/owner and has the following contact phone number (678) 622-1032.

The enumeration date for this NPI number is 3/7/2019 and was last updated on 1/22/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0002XPharmacyClinic PharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyYes
33336C0004XPharmacyCompounding PharmacyNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003229122AMEDICAIDGEORGIA

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: 11/21/2025

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