OrganizationActive
Wellpharm LLC
NPI 1104960202 · Pharmacist · Canton, GA
Provider details
- NPI number
- 1104960202
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Dale Coker, Manager Pharmacist in Charge(770) 704-6161
- License
- PHRE008814 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2260 Holly Springs Pkwy
Suite 180
Canton, GA 30115-9580
Phone: (770) 704-6161
Street-level locationGet directions
Mailing address
2260 Holly Springs Pkwy
Canton, GA 30115-9580
Other names (DBA / former)
- Doing business as
- Cherokee Custom Script Pharmacy
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.