SATILLA LIFE CARE NPI 1033117304

NPI Information

  • NPI: 1033117304
  • Provider Name: SATILLA LIFE CARE
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Other Name: SATILLA HEALTH ENTERPRISES, INC
  • Address: 2007 TEBEAU ST
    WAYCROSS, GA
    ZIP 31501
  • Phone: (912) 285-9153

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NPI Details

SATILLA LIFE CARE is a pharmacy in Waycross, GA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SATILLA LIFE CARE NPI is 1033117304. The provider is registered as an organization entity type.
The provider Other Name Is Satilla Health Enterprises, Inc.

The provider's business location address is:

2007 TEBEAU ST
WAYCROSS, GA
ZIP 31501-358
Phone: (912) 285-9153

The provider's authorized official is Benjamin Randolph Wheeler .
The authorized official title is Dept. Head and has the following contact phone number (912) 287-2506.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 9/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyPHRE00764GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PHRE00764OTHERGEORGIASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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