Institutional Pharmacy

LBN: Mayo Clinic Health System In Waycross, Inc.
Institutional Pharmacy is an health care organization with primary practice located at 2007 Tebeau St , Waycross GA 31501-6358. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Mayo Clinic Health System In Waycross, Inc. can be contacted via phone (912) 285-9164, or through Carbaugh, Chris via phone (912) 285-9164.

Contact Information

Primary practice address
2007 Tebeau St Waycross GA 31501-6358
Phone: (912) 285-9164
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carbaugh, Chris BSPH, R.PH.
Phone: (912) 285-9164

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1629076526
LBN Legal business name Mayo Clinic Health System In Waycross, Inc.
DBA Doing business as Institutional Pharmacy
Authorized official Carbaugh, Chris BSPH, R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Sep 5th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629076526 NPPES
Georgia MEDICAID 00001229C

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