The Medicine Cabinet Of Waycross - Downtown, Llc
LBN: The Medicine Cabinet Of Waycross Downtown Llc
The Medicine Cabinet Of Waycross - Downtown, Llc is an health care organization with primary practice located at 620 Tebeau St , Waycross GA 31501-4728. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
The Medicine Cabinet Of Waycross Downtown Llc can be contacted via phone (912) 283-2772, or through Meeks, Jon via phone (912) 383-8510.
Contact Information
Primary practice address
620 Tebeau St
Waycross GA 31501-4728
Phone: (912) 283-2772
Fax: (912) 284-0009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE005927 | Georgia |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1861457004 |
|---|---|
| LBN Legal business name | The Medicine Cabinet Of Waycross Downtown Llc |
| DBA Doing business as | The Medicine Cabinet Of Waycross - Downtown, Llc |
| Authorized official | Meeks, Jon |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Feb 20th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861457004 | NPPES |
| Other | 2012895 | PK | |
| MEDICAID | 00507064A | PK |
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