# WAYNE MEMORIAL HOSPITAL PHARMACY RETAIL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649650656
- **Authorized official:** DR. ELIZABETH HENDRIX GORSE PHARMD (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (912) 530-3367

## Contact information

- **Practice address:** 865 S 1ST ST, JESUP, GA 31545-0210
- **Practice address phone:** (912) 530-3367
- **Practice address fax:** (912) 530-3370
- **Mailing address:** 865 S 1ST ST, JESUP, GA 31545-0210
- **Mailing address phone:** (912) 530-3367
- **Mailing address fax:** (912) 530-3370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | PHRE010123 | GA | Yes |

## Other

- **Enumeration date:** 06/04/2015
- **Last updated:** 05/18/2023