Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blackwell Dynamics LLC

Organization Community/Retail Pharmacy · NPI 1861328163

Blackwell Dynamics LLC is a Community/Retail Pharmacy in Waycross, Georgia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

301 Garlington Ave Apt 22
Waycross, GA 31503-2709
Phone: (678) 879-2819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1861328163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Azauntti Edwards — Organizer · (678) 879-2819
NPI enumeratedJune 23, 2026
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address2021 N Slappey Blvd # 169, Albany, GA 31701-1001

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