Provider Demographics
NPI:1073678405
Name:BUY WISE DRUGS INC
Entity Type:Organization
Organization Name:BUY WISE DRUGS INC
Other - Org Name:BUY WISE DRUGS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:706-353-7847
Mailing Address - Street 1:740 N CHASE ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30601-1902
Mailing Address - Country:US
Mailing Address - Phone:706-353-7847
Mailing Address - Fax:706-353-8767
Practice Address - Street 1:740 N CHASE ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-1902
Practice Address - Country:US
Practice Address - Phone:706-353-7847
Practice Address - Fax:706-353-8767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2023-08-07
Deactivation Date:2023-06-22
Deactivation Code:
Reactivation Date:2023-08-07
Provider Licenses
StateLicense IDTaxonomies
333600000X
GAPHRE0060583336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00261555AMedicaid
2014792OtherPK
0142000001Medicare NSC