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Organization
BAXLEY WELLNESS PHARMACY INC.
Active
Organization
BAXLEY WELLNESS PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANA AYCOCK PHARMD, RPH (OWNER/PRESIDENT)
(912) 245-4270
Entity
Organization
Contact information
Practice address
160 AZALEA ROAD, BAXLEY, GA 31513
(912) 705-3784
Mailing address
160 AZALEA ROAD, BAXLEY, GA 31513
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
11/13/2020
Last updated
12/27/2020
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