# SOUTHERN PHARMACARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1902483712
- **Authorized official:** TRAVIS RAY HARRISON PHARM D (OWNER)
- **Authorized official phone:** (912) 705-7790

## Contact information

- **Practice address:** 755 S MAIN ST, BAXLEY, GA 31513-0130
- **Practice address phone:** (912) 294-1684
- **Mailing address:** 711 LAMBERT BENNETT RD, JESUP, GA 31546-1550
- **Mailing address phone:** (912) 705-7790
- **Mailing address fax:** (912) 559-2597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2021
- **Last updated:** 07/12/2021