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Contact Information

HOLCOMB BRIDGE WELLNESS PHARMACY INC
861 HOLCOMB BRIDGE RD STE 101
ROSWELL, GA30076-1900
 Phone: 470-297-5749
 Fax: 470-297-5758
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HOLCOMB BRIDGE WELLNESS PHARMACY INC

NPI # 1770041956
LBN Legal business name HOLCOMB BRIDGE WELLNESS PHARMACY INC
Authorized official DR ANSELM ADDO - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2019
Last updated 01/22/2025 - More than a year ago
Identifiers
GA Medicaid 003229122A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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