Provider Demographics
NPI:1639225063
Name:WARD'S PHARMACY LLC
Entity Type:Organization
Organization Name:WARD'S PHARMACY LLC
Other - Org Name:WARD'S PHARMACY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PATRIC
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:706-283-1412
Mailing Address - Street 1:8 S PUBLIC SQ
Mailing Address - Street 2:
Mailing Address - City:ELBERTON
Mailing Address - State:GA
Mailing Address - Zip Code:30635-2448
Mailing Address - Country:US
Mailing Address - Phone:706-283-1412
Mailing Address - Fax:706-283-5144
Practice Address - Street 1:8 S PUBLIC SQ
Practice Address - Street 2:
Practice Address - City:ELBERTON
Practice Address - State:GA
Practice Address - Zip Code:30635-2448
Practice Address - Country:US
Practice Address - Phone:706-283-1412
Practice Address - Fax:706-283-5144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00037991AMedicaid
GA00037991BMedicaid
GA1109746OtherNABP
GA6690820001Medicare NSC