Organization
OKEFENOKEE PRESCRIPTION SHOPPE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN BROOKE TAYLOR PHARMD (OWNER)
(912) 584-3796
Entity
Organization
Contact information
Practice address
1710 ALICE ST, WAYCROSS, GA 31501-5216
(912) 584-3796
(912) 809-2432
Mailing address
1710 ALICE ST, WAYCROSS, GA 31501-5216
(912) 584-3796
(912) 809-2432
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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