Guardian Pharmacy Of Waycross, Llc

LBN: Okefenokee Pharmacy Of Waycross, Llc
Guardian Pharmacy Of Waycross, Llc is an health care organization with primary practice located at 1401 Alice St , Waycross GA 31501-4528. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Okefenokee Pharmacy Of Waycross, Llc can be contacted via phone (912) 283-1646, or through Mcdonald, Eugene Carter via phone (912) 283-1646.

Contact Information

Primary practice address
1401 Alice St Waycross GA 31501-4528
Phone: (912) 283-1646
Fax: (912) 283-5383
Website:
Map and Directions
Authorized official contact:
Name: Mcdonald, Eugene Carter PHARM.D
Phone: (912) 283-1646

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1013788439
LBN Legal business name Okefenokee Pharmacy Of Waycross, Llc
DBA Doing business as Guardian Pharmacy Of Waycross, Llc
Authorized official Mcdonald, Eugene Carter PHARM.D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2024
Last updated Jan 15th, 2024 - about 10 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013788439 NPPES
Georgia Other PHRE010869 GEORGIA BOARD OF PHARMACY
Georgia MEDICAID 000219051A GEORGIA BOARD OF PHARMACY

Popular Providers