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WILDWOOD LIFESTYLE CENTER AND HOSPITAL
NPI 1093058265
Pharmacy - Community/Retail Pharmacy in Wildwood, GA

Active since April 05, 2013
435 LIFE STYLE LN, WILDWOOD, GA 30757(706) 419-0023(706) 820-1474 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wildwood Lifestyle Center And Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILDWOOD LIFESTYLE CENTER AND HOSPITAL (NPI 1093058265) is a healthcare organization registered as a community/retail pharmacy in Wildwood, Georgia and active in the NPI registry since April 2013. The organization lists Shelly Miller, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1093058265
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWILDWOOD SANITARIUM INCORPORATED
Location Address435 LIFE STYLE LNWildwood, GA 30757-4174
Mailing Address435 Life Style LnWildwood, GA 30757-4174 · (706) 419-0023 · Fax (706) 820-1474
Phone(706) 419-0023
Fax(706) 820-1474
Organization SubpartNo
Authorized OfficialShelly MillerDirector Of Pharmacy · (706) 419-0023
Enumeration DateApril 5, 2013
Last NPPES UpdateNovember 27, 2013
✔ NPI 1093058265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · PHRE009672
Definition
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.
435 LIFE STYLE LN, Wildwood, GA 30757
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Other Names 1

Doing Business AsWildwood Lifestyle Center And Hospital

Other Identifiers 1

Other2139673Pk

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA BELIZAIRE
Social Worker (Clinical)
435 LIFE STYLE LN
WILDWOOD, GA 30757
Dade County (706) 820-1493
JOCELYN GARCIA
Nurse Practitioner (Family)
435 LIFE STYLE LN
WILDWOOD, GA 30757
Dade County (706) 820-1636
MR. ANDREW P THRASH R.PH.
Pharmacist
435 LIFE STYLE LN
WILDWOOD, GA 30757
Dade County (706) 419-0023
NANA YAA KWARTENG NP
Nurse Practitioner (Family)
435 LIFE STYLE LN
WILDWOOD, GA 30757
Dade County (706) 820-1493
DR. JOHN DAVID HARRINGTON MD
Surgery
435 LIFE STYLE LN
WILDWOOD, GA 30757
Dade County (417) 321-0064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wildwood Sanitarium Incorporated's NPI number?

The NPI number for Wildwood Sanitarium Incorporated is 1093058265. It was assigned to this organization in the NPPES registry on April 5, 2013. The provider is doing business as Wildwood Lifestyle Center And Hospital.

Where is Wildwood Sanitarium Incorporated located?

Wildwood Sanitarium Incorporated is located at 435 Life Style Ln, Wildwood, GA 30757. The listed phone number is (706) 419-0023.

What is Wildwood Sanitarium Incorporated's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Wildwood Sanitarium Incorporated was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.