# THE MEDICINE CABINET OF WAYCROSS DOWNTOWN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE MEDICINE CABINET OF WAYCROSS - DOWNTOWN, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861457004
- **Authorized official:** JON MEEKS (OWNER)
- **Authorized official phone:** (912) 383-8510

## Contact information

- **Practice address:** 620 TEBEAU ST, WAYCROSS, GA 31501-4728
- **Practice address phone:** (912) 283-2772
- **Practice address fax:** (912) 284-0009
- **Mailing address:** 620 TEBEAU ST, WAYCROSS, GA 31501-4728
- **Mailing address phone:** (912) 283-2772
- **Mailing address fax:** (912) 284-0009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE005927 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 02/20/2017