Individual ProviderMartha A WdowickiPharmacistPharmacy Service ProvidersPractice Address465 Fieldstone Lndg, Alpharetta, GA 30005-4198(770) 410-9690PECOS EnrollmentBased on the most recent information from CMS, provider Martha A Wdowicki does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1578831236Provider TypeIndividualFull NameWdowicki, Martha ACredentialPHARMDGenderFemaleSole ProprietorYesEnumeration Date12/9/2011Last Updated12/9/2011Contact InformationPractice LocationPractice Address465 Fieldstone Lndg, Alpharetta, GA 30005-4198Phone(770) 410-9690FaxUnlisted FaxMailing LocationMailing Address465 Fieldstone Lndg, Alpharetta, GA 30005-4198Phone(770) 410-9690FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRPH017886GeorgiaCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicensePS46622FloridaCode1835P0018XDescriptionPharmacistPharmacy Service ProvidersLicensePU6748Florida