Provider Demographics
NPI:1841659406
Name:WHEELER, BRITTANY (PHARMD, MPH, BCACP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:WHEELER
Suffix:
Gender:F
Credentials:PHARMD, MPH, BCACP
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:BENNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3126 RAMSGATE RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-3324
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1003 CHAFEE AVE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-5867
Practice Address - Country:US
Practice Address - Phone:706-721-9542
Practice Address - Fax:706-721-6975
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-11
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH027883183500000X, 1835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No183500000XPharmacy Service ProvidersPharmacist