# BAXLEY WELLNESS PHARMACY INC. LONG-TERM CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BAXLEY WELLNESS PHARMACY INC
- **Other names:** Baxley Wellness Pharmacy Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861176877
- **Legal business name:** BAXLEY WELLNESS PHARMACY INC
- **Authorized official:** BRIANA BAXLEY AYCOCK (OWNER)
- **Authorized official phone:** (912) 245-4270

## Contact information

- **Practice address:** 160 AZALEA RD, BAXLEY, GA 31513-9195
- **Practice address phone:** (912) 705-3784
- **Practice address fax:** (912) 705-7819
- **Mailing address:** 160 AZALEA RD, BAXLEY, GA 31513-9195
- **Mailing address phone:** (912) 705-3784
- **Mailing address fax:** (912) 705-7819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2023
- **Last updated:** 06/12/2023