NPI:
1013788439
Provider Name:
OKEFENOKEE PHARMACY OF WAYCROSS, LLC
Former Legal Business Name: GUARDIAN PHARMACY OF WAYCROSS, LLC
Classification:
Pharmacy - 3336L0003X
Entity Type:
Organization
Specialization: Long Term Care Pharmacy
Address:
1401 ALICE ST
WAYCROSS, GA
ZIP 31501
Phone:
(912) 283-1646
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OKEFENOKEE PHARMACY OF WAYCROSS, LLC is a long term care pharmacy pharmacy in Waycross, GA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. OKEFENOKEE PHARMACY OF WAYCROSS, LLC NPI is 1013788439. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Guardian Pharmacy Of Waycross, Llc.
The provider's business location address is:
1401 ALICE ST
WAYCROSS, GA
ZIP 31501-528
Phone: (912) 283-1646
Fax: (912) 283-5383
The provider's authorized official is Eugene Carter Mcdonald .
The authorized official title is Chief Executive Manager/co-owner and has the following contact phone number (912) 283-1646.
The enumeration date for this NPI number is 1/15/2024 and was last updated on 1/15/2024.